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I know we aren't really supposed to eat raw leafy veggies or other high sources of insoluble fiber, especially the months following takedown. But if those veggies are blended well, do you think the fiber would still be difficult for a j-pouch to process? Causing diarrhea and other issues?

Tags: insoluble, fiber, Nutrition, j-pouch, veggies

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I eat raw leafy vegetables and other sources of insoluble fiber every day. It does not cause me any particular problems. My frequency may be up a few trips to the toilet per day, but it does not make me feel ill. Ii have been on a regular diet since a few weeks post op.

Your j-pouch does not really process or digest that much. It is the rest of your small intestine that does that. The j-pouch is just a reservoir. Early post op, too much roughage can be an irritant in the pouch, but you'll get your nutrition. I never found the need to blend or juice, but some people do.

Jan

Jan Dollar
Last edited by Jan Dollar

Like Jan, I eat leafy vegetables and fruit every day. I generally don't closely inspect what comes out the other end, since it's neither attractive nor informative. If a food makes you ill when consumed in some quantity, back away from it. Juicing will do you no harm, unless it encourages you to stay frightened of foods you haven't tried lately.

Scott F

Thanks for the responses! It's good to hear that it's possible to eat pretty much as one would like. I don't feel real confident eating whatever yet. Antibiotics are helping. I've been on them for around 3 months taking 2-3 day breaks every few weeks to see if I can stop taking them. Once off of my meds, Pouchitis roars back in around 24 hours. Mostly Cipro, some Tindamax and currently Xifaxin. Real gassy on the Xifaxin, though I can tell it's doing something.

On a side note, is it possible to have an anal stricture, if I'm able to easily dilate with a finger while experiencing little to no pain? At some point most days, I usually have to strain, see blood, and have repeated trips. Probably just pouchitis, but I'd like to rule a stricture out. Only had 1 real dilation under anesthesia, when in full stricture-mode. During my second pouchoscopy a local surgeon who had never heard of Tindamax didn't think I really needed a full-fledged dilation. At the time I really thought I did with the symptoms I was experiencing. Since then, I've just been confused about my situation.

KP

Gee, I think if you can easily get a finger in there, you are not strictured. When my pouchitis is bad, I have trouble emptying.

By the way, I also note less than stellar results when on XIfaxin, and my GI wants me to use it more than the Cipro or Flagyl. So, when I am on it, I also take 1 Pepto Bismol caplet (generic from Walmart is cheap) 3 times day. That combination seems to improve the Xifaxin efficacy.

Jan

Jan Dollar

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