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Hello j Pouchers lol. This is my first post and I am excited to hear what everyone has to say. 

First of all, I was diagnosed with UC when i was 17 ( I am 29 now), and i was completely shocked to hear this. I was extremely devastated. Of course you never think you would be diagnosed with such a terrible disease. I played sports, ate what i wanted , did whatever i wanted whenever i wanted lol.

I started out great, i was in remission for over a year. and i was only taking asacol. Then i flared up and it was never the same after that. I ended up taking every medicine under the sun, 6mp ( got pancreatitis from this), humira, remicade, entyvio, prednisone, lialda, buedesonide and so on... My body ended up building antibodies against all the medicines and the only option was surgery. I chose Mount Sinai Hospital because Dr Greenstein does about 50-100 of these surgeries a year. 

In April of 2016, Dr Greenstein at  Mount Sinai hospital in Manhattan NY, performed my First of three surgeries, the subtotal colectomy. He removed my entire large intestine. I had a colostomy bag for the next 3 months which was amazing, this was the first time i have been drug free since high school. I felt amazing. I was in hospital for three days and was back to work on light duty after two weeks for recovery.

In july 2016, i went back in to remove my rectum and he created the J pouch out of  my Small Intestine. I was in hospital for three days and was back to work on light duty after two weeks. You can actually see thr surgery on youtube if you search, Dr Greenstein mount Sinai Subtotal colectomy. Which is very cool, i watched the videos the night before my surgery lol. 

In September 2016, The J pouch Takedown was complete and This one was no joke. I was in hospital for 5 days, cought a fever in the  hospital, and now i had to get used to using the bathroom again. The gas pains were excrutiating, i didnt sleep for days and the butt burn was so bad i was in tears. I was home for three weeks and i had to go back to work due to financial reasons. I have not been the same and I sometimes regret getting this j pouch surgery. I would much rather have a colostomy bag. My life was great then. My doctor told me to hang in ther and be patient ( I am not known for patience lol) and that the pouch takes about a year and a half for the pouch to mature and stretch. 

Now it is 6-7 months later and i am on Opium Tincture and lomotil, with cipro every day just to not use the bathroom 10 times a day. Some days are great and a lot of the days are bad. i recently had a colonoscopy to check evrything out and the doc said it all looked great. 

Has anyone reacted this way or similar to there j pouch takedown? Maybe i need to be a little more patient. After all, i am grateful that i am cured from this terrible disease and my colon cancer risk is almost to zero. Thank you all for reading.

 

Replies sorted oldest to newest

Hey Andrew, I had my take down October 19th 2016. I'm still struggling bigtime. I have chronic pouchitis. My illness was diagnosed in 2001 but I'm sure it started when I was 30 in 1994. I have been in a flare just about every day since 2004. I've built up a resistance to anti-biotics. So pain meds are the only thing that work

FM

Hello, Andrew16. 

Your experience of the reversal is exactly what I went through. It seemed like the first surgery, the big one to remove my colon and create a j pouch (I had the 2 step) was "easier" than the reversal. Yes, the big surgery hurt a lot, my body was in shock and the incision area was painful but morphine pump helped. The reversal a few months later was different. The gas pain was 15 on the pain scale. Like a brick was dragged through my intestines, and morphine does not affect gas pains at all. It took 15 hours for the gas to make it through. So what you experienced was normal.

These months are still early. Some j pouchers recover quickly and some take longer. It will get better. If you have butt burn, a plastic bidet bottle from Amazon will save you. Don't use toilet paper for initial cleaning; use the bidet bottle to squirt water over the area and rinse, then pat dry with soft toilet paper. Do this every time to prevent or heal butt burns. The few times I left the house without packing the bidet bottle and had to use only toilet paper I suffered terribly and was raw and burning again by the time I got home. Calmoseptine helps a lot, but if your skin is broken then the menthol might irritate or sting. I used Zincofax for baby diaper rash and it is gentle and healed within a few hours. Also, for the frequency, instead of Cipro which is usually for confirmed pouchitis, try Metamucil to add bulk to stools so you aren't going so much. Loose stools are harder to hold on to, and if it leaks then you suffer butt burning. Or try Immodium to slow things down. Be careful about dosage so you don't have a blockage.

I hope as time passes you will feel better about having a j pouch created. When you are having difficulties that's when you feel it was a mistake, but hopefully that will pass and you'll have your health and peace of mind over this. I had a choice between j pouch or permanent ostomy and I chose j pouch. I knew a permanent ostomy would be very expensive in the long run if I didn't have adequate insurance, and I would always need to pack bags, wafers, creams, and supplies when I left the house in case the bag leaked. You will get better. Give it time, a year at the very least to adapt. Your body went through a traumatic experience. Good luck to you.

Winterberry

thank you winterberry, very much. It is reassuring that i am not the only one lol.  i am on opium tincture, and lomotil together to control my bowels. This combo seems to work the best for me. For the butt burn, calmoseptine cream worked great. I am just taking it day by day, some days will be good and some will be bad. thank you all for replying. 

A

 I could have written your post myself including having Dr Greenstein as my surgeon!  I am only two months post take down and regret sneaks in every now and then also as I am not having an easy time, but everyone  -  including Dr Greenstein -  tells me I just have to be patient and it will get better.  I have to admit it scares me to hear that you're still experiencing difficulties after six or seven months;  I was hoping to be 'semi regular' by six months. I'm sorry that you're going through this difficulty; its an incredible challenge on hourly basis and my patience has worn thin also, but I'm trying and hoping for the best.  As one J Poucher told me don't measure your progress in days or weeks, measure it in months; but it's tough.......

Veggiescott

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