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Curious if anyone else has ever had this? I've been having some trouble emptying and suspected it was a stricture. Upon DRE my GI thought it was a mild stricture (and that she had done a manual dilation), but she scoped afterwards and saw that the cuff was mildly inflamed -- no ulcers, but it looked "swollen". No pouchitis or anything else going on in the scope. I haven't had any bleeding whatsoever and no particular pain during BMs, it just takes quite a long time and often I have a feeling of incomplete evacuation even when I'm "done".

I didn't really get any relief after the dilation, if anything things have been very slightly worse since then. I wonder if the "swollen" cuff can cause symptoms that mimic a stricture? My GI gave me proctofoam to use twice daily to try to calm down the cuff, no change thus far but I'm able to retain it for at least a few hours each time so I'm hoping to see an improvement soon.

Any thoughts?

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Yes... A inflamed cuff can mimic symptoms of a stricture. I deal with this often as I do have a chronically inflamed cuff even with meds and this also adds to my difficulty emptying and I also have a stricture which further complicats things for me.

If you are not bleeding and have no ulcers or pain that is a good sign. My Gi says we may always have some level of inflammation in the cuff even if asymptomatic. The rectsl meds should help you.
J

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