It could be pouchitis. Have you had any evaluation or treatment?

Yes I have recently. Not pouchitis. Thanks for responding.

Sounds like a pelvic floor dysfunction (levatator ani), but that is usually associated with the early post op phase. I wonder if you have a fissure starting and you are getting early sphincter spasms from it. Another possibility is maybe a prostate problem, like prostatitis? Just a thought and a long shot at that...

Jan

If you eat too much fiber it can cause a partial obstruction which leads to trapped gas and stool in the pouch. This trapped gas causes very painful spasms in the
rectum and causes urgency yet the inability to go to pass stool/gas. It takes a few days to clear up.

Take gas x and keep walking. You also need to lay down somewhere with your legs up ( knees close to your chest) because that is the only way to pass gas when you have partial obstruction.

Thank you Jan. I am seeing my gastroenterologist soon and will discuss those possibilities with him.