hello,

it sounds like you are asking if you have a stricture.  In other posts you have mentioned frequent bowel movements. Perhaps a scope will put your mind at ease. Your pouch needs time to mature and stretch.

Best Wishes,

-len

Your doctor could easily determine this by a simple exam and it should be done before a scope. If he cannot pass a finger through, then you likely have a stricture. It can be broken manually, but it is painful without sedation. They can also do a balloon dilation. Surgical release is a last resort.

Jan

Jan thanks- what is exactly a stricture? Merci

Where your pouch is joined near the anus, it is a circular suture line. Sometimes during the healing process the scar tissue shrinks too much. It can contract down to the point that it makes it difficult to pass anything but liquid stool. Your pouch never empties and you feel nearly constant urges. Sometimes a single dilation takes care of it, and sometimes it takes multiple dilations before it stays open. Some people need to self dilate at home to maintain it.

Jan

When I had my takedown, my surgeon did manual stretching of the scar tissues for up to 1 year.   And yes, it is VERY painful, as he did not sedate me... and barely used even a topical numbing ointment.  However, it is one of those necessary evils in order to get to a place of "normal" function.  I would definitely see your surgeon to see if some stretching needs to be done.

i have the same problem and my doctor told me sphincter muscle was to tight thats why i dont empty all the way 

its horrible

So what can you do?

A tight sphincter muscle is different from a stricture (narrowing) due to scar tissue. Strictures have to be dilated, often repeatedly, to get them to stay open. A too-tight sphincter would probably benefit from pelvic floor PT or maybe (I'm guessing now) biofeedback. Some folks might even try Botox (very carefully), and now I'm really guessing.