If you're positive nothing's wrong with the pouch I think it may be a blockage or a partial one. I havent had it so far with the pouch. But there's this friend of mine who had them 4-5 times in 8 years with her pouch. All she would do is fast for the entire day or till the time she feels back to normal. She drinks lots of fluids too during this time. Maybe you can give it a shot and see if it works.

Incomplete emptying is pretty unpleasant. It was worth a try to soften up your stool, and I’m sorry it didn’t help. There are things that a CT scan can’t identify. Strictures are a common cause, and pretty easy to see on pouchoscopy. It sounds like you haven’t had a recent pouchoscopy yet? Another possible cause of incomplete emptying is pouch prolapse. You don’t report some of the common sensations associated with prolapse, but it’s still possible. If your pouchoscopy comes back normal then a test called a defecogram can be done to explore the possibility of prolapse. Good luck!

With taking lactulose for 4 days, I assumed it would have helped soften whatever it is up. But sadly it has been basically no change.

I normally have a pouchoscopy every 12-18 months, it has now been 24. My last one everything was clear. See, I've never heard of or even thought of a prolapse pouch - I try very hard not to WebMD myself. Some days are better than others, today I'm crampy and have pains in the tailbone area. I hardly ate anything yesterday, just lots of water and other liquids. Doesn't help that it has been mentioned time and time again that my doctors think I have a high pain tolerance, sometimes it takes me days to even realise something hurts / is bothering me.

Could be a partial blockage, try switch to soft foods, no peels, skins, nuts. 

I never eat peels or skins when I can help it, and wouldn't even consider nuts at a time like this. I've only had liquids today, not even a smoothie. Broth is the closest thing to "food" I've had. Still zero improvement with movements.

At least I finally got in for a scope on Monday. Hopefully an answer with a solution.

MS, can you update us on what happened? Today I found this post because what I'm experiencing right now is described by you in your post. Curious about what the outcome was

Honestly, I never got an answer/I'm still looking for one. The past two years have been hell. I had a scope done of my pouch, everything looked good. GI doc says that it's possible my pouch was being "lazy". I had an upper scope done and they found a polyp, later removed, then ended back in hospital with pancreatitis. Found out I have Endometriosis and have been getting injections for the past 18 months. Also one horrible stomach ulcer in there too. Throughout all of this I have had minor improvements with my pouch/BM's. I'm 34, was healthy and active up to about 2 years ago. Every damn day feels like something new. Sorry I cant give you a positive answer.

@MS a pouch that feels full after emptying can be pouchitis, and sometimes it isn't obvious on pouchoscopy. Have you ever tried a course of Cipro?

They tell me it's not pouchitis.

It probably isn’t pouchitis, but it could be. After two years of this I’d sure want to try something less obvious, at least if the risk is low, since the more obvious stuff hasn’t solved the problem.

Thanks for updating me and I'm sorry to hear it hasn't gotten better for you. You're too young to have to accept this compromised lifestyle!