I seem to have a lot of trouble keeping things moving in my system. I will have two or three days where everything moves great, then I will have four or five days where it is a struggle to get things to move. Is it all diet related or do I have lazy intestines. I drink tons of water but doesn't seem to make a difference. I have had my pouch for two years now and it has been like this since the beginning. Any suggestions?
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What’s the consistency of what’s coming out? Is the consistency any different when it’s easy to go vs. when it’s difficult? ALso, do you have any pain when things are backed up?
The solution will be different if your stool is sometimes too thick, vs. intestinal dysmotility, vs. partial obstruction, vs. pouch prolapse (to list some possibilities).
When it's easy: pretty lose When it's hard: very formed
Why not give psyllium (e.g. Metamucil) a try? It should even things out.