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I have had reasonable success coping with my pouch from about 2005-2009. At that point, I began to have difficulty trying to balance the choices I had to make in order to have a functioning mind/body vs those I had to make in order to continue a full-time teaching career. However at this point, I also met my life partner, who gave me all kinds of fantastic support. So I got a breather for a while. I think I felt less stressed because at least my personal life didn't suck; only my professional life.

For the last five years, however, I have experienced the fallout from some of my refusal to give in to my symptoms, which, as I read through these forums, are no different than those experienced by others with a J-pouch.

If I get all the liquid intake I need in order to stay hydrated, my constant headache disappears but I have to go to the bathroom almost constantly instead. This doesn't work well in a classroom.

If I eat all the foods that slow my bowel, I also gain weight extremely fast, which my heart doesn't like very much. My energy level depletes considerably. Also not good when you are teaching full-time. If I go on a Weight-Watcher diet (which I did), my weight goes back down but I don't get enough carbs and potassium to satisfy my digestive system.

If I don't eat past 4pm, I will almost invariably not awaken to go to the bathroom. I will, however, awaken because I am hungry. It is difficult to teach when you have either not slept at all or slept only fitfully. Ninety percent of the time, those are my only two choices. Again, you can't teach well when you haven't slept. I can count the number of times on one hand that I actually sleep more than three or four hours a night within a six month period. Sleep-deprived is an understatement. I have gone six or seven days in a row with no sleep at all at times. And gotten up and gone to work like that.

I have been taking Imodium daily for about a month now and notice only a slight difference in my output frequency. (And I wonder what the side-effects from taking Imodium daily will be in the long run? What new problems might that cause?) I still wake at least twice in the night to go to the bathroom. This is better than four times, but still not great. I pass solids anywhere from 8 to 12 times a day. This is fine in the summer and on the weekends, but not great during weekdays when my freedom to use the washroom is severely curtailed in a building which has only three private bathrooms within easy reach of my room to service about a hundred staff. At least half the time when I try to use a washroom, it's occupied.

Sleep deprivation, dehydration, difficulty with itchiness and bleeding, dry skin and constant headaches are only a few of the symptoms that are a daily occurrence. I am a pretty strong person. I dealt with all this for quite a while without feeling like I was overwhelmed. Now menopause has reared its ugly head and I find myself have even more difficulty. I can't sort out one set of symptoms from the other.

I find myself since September getting easily confused at work, forgetting things, being unable to retain the simplest bits of information and having difficulty with my anger. I have been placed in a new job for which I am radically unqualified but that's what the education world is like now. There are no jobs in my qualification area any more. Or not enough lines to give me full-time work. The new semester is started and I have no idea where my principal will place me now that I have proven unequal to the task he set for me in September.

I also find that there are times when I am standing in a classroom of teenagers and co-workers in which I have come precariously close to soiling myself in front of others. That will not change just because I had a stress leave. When I go back, it will be more of the same.

I am off on a stress leave now and enjoying the freedom to explore this site, find myself some advice on dietary changes that I can make and advice for getting better nutrition and sleep. However, none of it jives very well with trying to hold down a full-time teaching career in a position for which I am not qualified. I can see a future for myself where I can begin to get back some control over my sleep patterns, my diet and my digestive system, but none of it works when I place myself in the regimented school-bell driven schedule of a full-time teacher doing a job she's never done before. I am only four years from retirement. I have no intention of giving up a perfectly good career but I also do not want to watch myself become a laughing stock as I lose control over my own body and mind due to the constraints of living with a J-pouch while trying to learn a new job. The world of education is not a friendly place for someone who needs to put her bodily functions above her job.

If there are other teachers out there, or other professionals whose world is regulated by schedules, supervision and the inability to leave to use a bathroom when necessary, I would love to hear from you. What do you do that has helped? I would like to go back to work in March but right now, I am no further ahead in coming up with a dietary/sleeping pattern that would allow me to get the rest and nutrients I need to work productively than I was two weeks ago.

Drop me a line if you have any helpful suggestions.

Linda E.

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Hi Linda

I can definitely sympathize with what you have written, the constant battle between eating to keep your body properly nourished and hydrated versus eating to help improve quality of life (sleeping, not soiling yourself at work, being happy and living life the way you want to live it). There are times when the two fight each other, and it can be extremely frustrating.

Other than diet and the imodium is there anything else you have tried to slow down your transit time, or thicken up your stools? Could you have an element of pouchitis? My stools always became incredibly loose and gassy, and it was hard for me to control going to the restroom when my pouchitis acted up, antibiotics (cipro and flagyl) helped. Have you had a scope recently?

I hope you find some relief, being on stress relief is hard, especially if your situation doesn't improve when you go back to work. I'll keep you in my thoughts, feel free to PM me Smiler

I'm just down the road in Toronto, so hello neighbour!
P
Hi Linda,

I have some suggestions for you.

Have you tried taking Metamucil? The powder helps absorb water.

I have also found that oatmeal also helps.

In addition, for the itching and irritation, there is a nefedepine cream. If is a solution of petrolium jelly and nefedepine. This stops spasms of the sphincter. This is a prescription med (at least here in Canada).

Have you had any blood work done? It seems like you might be dehydrated and losing too much fluid, minerals, and so forth. Maybe you have other deficiencies. It is possible that (and this is only a suggestion) you also suffer from short gut syndrome.

There is also a combination of Ciproflaxin and Flagyl that is prescribed to fight pouchitis. I have found Cipro to assist immensely in slowing things down. My surgeon refers to it as bowel candy.

Please feel free to reach out and let me know if there is anything I can do to help. I have lived with my pouch for 30 years.

Good luck!

Solomin
S
Hi Linda. Yes to demands of teaching is very demanding my daughter is a teacher apart from migraines she is healthy but I see how worn out she gets more as the term proceeds. I have the problems that you describe just had a scope and it was found I had inflammation of the pouch and malasorbation problems. I was taking lommital but have been changed to gastro stop and benefiber I can see some improvement.i also read on this site about taking out starchy carbs this has also helped have an appointment with a dietician to try FODMAPS diet so t can fine tune it more. Also with regard the headaches I had them daily was put on powered magnesium two spoons a day the headaches have disappeared .i think with going to the toilet so much we are losing nutrients so I never take tablets as they will go straight through. Hope this helps.
S
If you try Metamucil instead of the fiber in fluid you might want to take it in the clear capsules instead. Either way we are to drink less fluid with it than the directions say. I take "Fibro Malic" by Trask and order it on-line. It's for fibromyalgia patients and we have a lot of the same problems as you are describing, like headaches and insomnia. It's got a few extra things in it. I always test well in my blood work. There are lots of magnesium supplements you can take, this is just a suggestion.

I use NUUN electrolyte drink tabs in my water to keep me hydrated. They don't have a heavy taste, just a few calories and easy to carry. A bike rider on this site suggested them to us a few years ago. I order them from the company's website.

I feel for you. I said I was glad I wasn't a teacher when I had UC and I agree with everything you said above about our j-pouches. I'm disabled and can't work anymore. Besides my j-pouch IBD relaed problems I have other health reasons.

Is there any way you can request a different type or kind of teaching. One that is more one on one with the student where you can leave when you need to use the restroom. I don't know the laws in Canada but I'm thinking they should have to accommodate your partial disability needs so you can still work. That would include moving your work location closer to a restroom etc. This is causing you stress plus they have given you a work assignment that is beyond your capabilities. Why would they do that? Can they fire you if you tell them that? Is it like telling an art teacher to teach physics? You know what I mean. Sometimes productive people, like yourself are given the tougher work because they are the ones that always get the jobs done. It would be great if there was an administrative job you could perform for 4 years. Do you have a union? Can you discuss your rights with your union President? In the states some teachers have unions.

Lastly I want to discuss diets. I gained a bizzion pounds from prednisone and tried every diet and couldn't loose much weight. I went to Weight Watchers for 18 months but didn't loose any weight the last 12 months. After my j-pouch surgeries I lost all the prednisone weight.

Best wishes Cool
TE Marie
Just a short note on the Metamucil capsules. I am currently taking them as part of a diet program. The problem I was having with them is that I was noticing some of them in the toilet undissolved after a BM. My wife suggested that I should separate the capsules and put the powder in water which I drink. So far so good seems to be working.
Just a thought for those taking them.

Lew
Lew
I suspect my super fast transit is due to the diet which consists of 4 shakes a day for a total of 900 calories. It's a diet I chose to do through the local hospital. I suspect my main reason was my youngest daughter did it and lost 56 lbs in 12 weeks. In any event the capsules are recommended as the powder has sugar and calories. I only plan on doing it for 6 weeks hoping to lose about 30lbs so while taking apart the capsules is a pain I'll persist.

Lew
Lew
Lew, I did the medically managed weight loss program too a few years ago (my husband did it with me). I had 6 meals a day and my husband had 8. Each meal (shake or bar or soup) was 160 calories. My daily caloric intake was 960. I did not have any problem with diarrhea, but still did the fiber thing. They prescribe the fiber because folks with colons tend to get constipated on the diet. Plus, the extra fiber helps you feel full. Those shakes have pretty much zero fiber. The bars have some. I used the tablets or gummies (made me feel like I was eating something). You can get the powder, tablets or gummies without sugar, so I am not sure why they say you have to have the capsules.

Jan Smiler
Jan Dollar
Thanks for the info Jan I'll look for them.
(I must admit that I've learned a lot more respect for my daughter after starting this diet. It is the hardest one I've ever tried. It'll take all of my willpower to stick it out for the 6-10 weeks. I don't know how she did it for the 12+ weeks). I'm only in my second week.

Constipation is not an issue but I have increased my Metamucil for bulking due to some diarrehea in the afternoon.

It's not going to be a fun time but I'll have to stick tour or she'll never let me forget it - probably good incentive!

Lew
Lew
Linda E.,
I completely sympathize with your situation. I train new employees 6 hours a day for 3 weeks. It does become an issue when you can't leave the classroom. I have even stopped eating lunch because I know I will have to go later on if I do.
I take Lomotil about 4 times a day and Tylenol 3 twice a day to control my bowel movements. I have always had diarrhea; diet and medication only affected how many times I went. The Tylenol was just added last year and with Ambien I take at bedtime I rarely have to get up at night. I have taken the Metamucil powder in the past, using 1/2 the amount of water, that also helped with frequency.
It's a challenge for sure.
Txgal58
Txgal, are you also taking the Tylenol #3 for pain, or just for the effect on the gut? If not for pain, then the acetaminophen in the Tylenol #3 is unnecessary and inappropriate. The codeine in Tylenol #3 may be helping you, and just codeine would be the more appropriate prescription, IMO (though I'd try Lomotil first, if you haven't already).
Scott F

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