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Pardon me for sounding a bit ignorant but I'm a little bit confused. I have a jpouch and I lift weights in the gym 3-5 times a week. The diet I follow is rich in protein for muscle recovery. The problem I have with the protein diet is constipation (which I used to get even when I had a colon). My remedy for this when I had my colon was to raise my fiber intake. I have tried to increase my fiber recently but it seems either have no effect or actually makes it worse. I remember my Dr telling me to consume more fiber when I had watery stools after my takedown surgery to thicken things up. My question is, with the j pouch does our body react differently to fiber? With the exception of cutting back on my protein intake, what can I do to soften things up?

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My J-pouch surgeries were in Oct. 2012 and Feb. 2013. I have had 2 small bowel obstructions sending me to the ER, one just a couple weeks ago and the other almost exactly 1 year ago. Both wound up clearing pretty much on their own, after a lot of discomfort and a few days in the hospital. A scope found 2 strictures, although the tube passed easily through them. My gastroenterologist says my experience is very common and not as bad as some people experience. He is recommending eating a low-fiber diet, examples of which he mentioned not eating raw fruit, asparagus, kale, pineapple, corn, tomato skins. Things like brown rice, cooked legumes are fine, he says. Metamucil, which I've been taking pretty regularly, mostly with half the amount of water given on the label per his recommendation, is a fiber but it's soluble fiber. So apparently what is to be avoided is the high insoluble fiber foods. Looking online for lists is very confusing as different lists contain different and sometimes conflicting items. For example, some sites recommend brussels sprouts (cooked) as very high in soluble fiber. Other lists say it's a no-no. Does anybody have any advice on this. I want to avoid further bouts with small bowel blockage if at all possible!

C
Last edited by Curly

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