I’ve had good results with psyllium in powder form (rather than capsules). The wafers worked fine, too, but I don’t want quite so many cookies in my diet.

Because the loop ileostomy is upstream it bypasses the last part of the small intestine. For many folks this makes a considerable difference in nutrition and stool consistency. In addition, the optimal consistency for a loop ileostomy may not be the same as what’s best for your J-pouch. If you have a current need then by all means address it, but the experiments will more or less have to start over after takedown.

Good luck!

Scott, thank you! This is really helpful—especially knowing why a lot of people see consistency changes after takedown. I couldn't figure that out, but your explanation makes a ton of sense. I appreciate your help!

I used metamucil when I had my loop ostomy and thought for sure I'd use it after takedown. I have tried it numerous times and it does not work well with my pouch, meaning gas and increased frequency. I dont use anything and find I do pretty well at 7 months out, other than I've been on antibiotics three times for suspected pouchitis. However, everyone is different so just experiment to see what works for you.  I've never had extremely runny stools consistently. I take immodium if I do otherwise no meds for me.

I would definitely reccomend after takedown. I would not do anything before takedown. This is a time of rest for your body. 

Quick thanks to everyone who replied here! I really appreciate it.

@Morgan Hubbard posted:

Quick thanks to everyone who replied here! I really appreciate it.

Of course, anytime