Pregnancy with a j pouch and weak anal sphincter muscles

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sally85

Hi guys, hope your all well.
I'm in need of some advice, basically I've been to see my surgeon for I had hoped was the begins g of my j pouch surgery after 2 and a bit years with an ileostomy, when he did an examination he said he could t the the operation because my anal sphincter muscles were to weak from having a vaginal birth with my first baby (which was before I had the ileostomy) anyway I waited after I had my first son to have another baby and then consider the j pouch operation, and when I had my second baby he was born via c-section to save the muscle tone in the anus, so now I'm here and being told that after 2 years with the ileostomy I might be able to be reconnected

Has anyone else experienced anything like this? And did you still go on to have the j pouch? and how has it been for you?

Do any exercises help with building muscle strength? I've bought a biofeedback machine to help me locate and train the muscle and trying to do kegal exercises

Also and this is me getting way way way ahead of myself, if I did have the j pouch done (I pray to god) and I wanted to get pregnant, and did, could this ruin the j pouch? Or harm the muscles in the anus more even if I had another c section?

As many replies as possible would be lovely

love to everyone xxxx

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JJAMember

I responded on another of your threads.

IF you get the j pouch, and get pregnant again, you might consider a C-section to prevent further risk of further damage to already damaaged sphincters.

If you get the j pouch and still have a weak sphincter you might also consider pregnancy from a functional perspetive. I had a pouch with a repaired and still weak sphincter and fecal incontinence. I took lots of immodium and codeine to help thicken to help cope with this-could I have taken those throughout pregnancy? (grey area) Would a baby pushing on my pouch with already weak sphincters and incontinence leave me in a diapers throughout pregnancy situation? (and with me, because of the pouch, when we leak stool or have an incontinence episode the acid content of our stool is high, so it quickly irritates the skin back there (think diaper rash in a flash) and the more my skin is irritated the more trouble i have with incontinence, so it is a negative spiral). You can read other threads here to see that some breeze thru pregnancy with a pouch and others have issues. If the issue is looser stool, combined with having weak sphincters, that's gonna make things hard, in my opinion.

These are a few of the reasons I chose to adopt my children, but Doctors told me repeaterdly there was no reason I shouldn't be able to carry a ehalthy fetus to term, even with a fouch, bad phincters and incontinence. WHat they couldn't tell me was how I would do during the pregnancy. They did say that if I was having a lot of trouble they could give me an ostomy (which I was trying to avoid), but not sure that waiting until pregnant to make that decision is a good idea. They also said definatelt C-section if I opted for pregnancy, given my situation.

4/1/144:44 PM

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sally85Member

Thanks JJA, i guess im just trying to hold on to any normality thats left when you end up with an ileostomy or a j pouch, but sense would tell me probably to quit while im ahead and not get pregnant if i ever did end up with a j pouch, especially seeing as my anal sphincter muscles are so incredibly weak, the surgeon said they are the worst hes ever felt

4/1/146:33 PM

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