Mat, are you sure it’s full? The feeling of wanting to use the toilet can come from various things, including an inflamed, sensitive pouch. Have you tried delaying the bathroom trip? If you do that, does it cause an accident? Discomfort? 

Hi Scott,

Thanks for getting back, its definitly full and if I dont go, 'trouble', first with discomfort followed by accident

Mat..... When you say bag, you do mean the J pouch ?

  How much fluids are you consuming, as I've found drinking excessive amounts of fluid can dramatically increase output, whether with a J pouch or a colostomy bag.

 Also, compare what you're eating and how often in comparison to your output, as you may not realise that what you're putting in; a certain amount has to come out or maybe, there's something within your diet that makes you go more, which often baffles me, but whenever I have a boiled egg, within minutes of eating it, I need the bathroom but this doesn't occur when the egg has been fried.

As for the Butt Burn, apply ilex Protectant Paste.

Hi Strange, I mean my J Pouch...

I do drink lots of water due to the climate I am living in (Thailand) and watch what I eat as I am aware of what can happen  

Sorry for my confusion.I

wasn't questioning it, just thought, there may of been something that could be causing your excessive BMs, which you may never of realised and this with copious amounts of fluid maybe aggregating and exacerbating your situation.

No confusion Strange, I understood what you meant and I thank you for your input

Mat, if you’re actually truly filling up a normal-sized J-pouch 23 times in a day then you either have an infection (like C diff) or (as Strange suggests) you are drinking much too much water. Your pouch doesn’t manufacture its output, so it has to come from somewhere.

It’s much more likely that your pouch isn’t really full, even though it feels full. This is a pretty common sign of pouchitis, which is easy to treat, and should generally require only one visit. When you go to the doctor, which will cost money, it might be less upsetting if you remember how much you’ve saved in health insurance premiums. If you think there’s a risk that the doctor won’t know how to treat pouchitis, bring some documentation (like the articles at the top of the Pouchitis forum) so the doctor will be able to figure out what to do. A simple, inexpensive course of Cipro will probably fix you up, and suggesting a typical dose to the doctor might be helpful.

Many thanks Scott and yes, having had my J Pouch since 2007, I know whats full and whats not, especially on 'what comes' out of it every time I go to the Loo

I thank you for your input and suggestions,

Have a wonderful day...

Mat