Hello all,

First off, I (22, M) wanted to say glad to be here, not a J-Poucher but have not found a whole lot of information on straight ileorectal anastomosis people.

I had my procedure done to treat colonic inertia and mega colon. I had a diverting loop ileostomy for two weeks, and then the  docs went in and did the takedown after only two weeks because the connection was healed (Colorectal contrast MRI) and turned out I had strictures which had been giving me incredible pain. I have been working with my doctors but I am in the Army and went through the army medical system (my mistake lol) and they are closed tomorrow. I am a month beyond surgery and things are still a little off, I am working at getting where I need to be and I know in one way or another I will.

This leads to my main question, I am having the hardest time trying to poop this evening. I felt like I definitely had to go to the bathroom and three times I got up and tried to go, I almost kinda forced it (very very gently) standing up. Ill walk you through my whole day so far for context.

Only had 3 bowel movements today: one at one PM (After not having gone since eight O'Clock the previous day, was soft) one at 3ish that was diarrhea, and one at 4ish that was watery.

As far as meals I am trying to eat 3 small meals with snacks at an interval in-between, as per what I have been instructed I had oatmeal, toast and bacon, with half a teaspoon of Metamucil before. I had a electrolyte drink and a low-fat yogurt pro biotic drink. For lunch I had rotini and chicken. Afternoon snack I had a banana smoothie with peanut butter, and finally for dinner I had the same thing for lunch, just in smaller portion. I go for walks almost 3 times a day, probably quarter to half a mile

Beyond the feeling of tightness (doesnt hurt) in my rectal area, I have no pain. My stomach is a little distended, but when I push on it feels pretty soft. When I am standing up, it feels a little tight, but again, no pain.

I was gonna ride it out til morning but I was concerned when I felt a twinge of nausea, no gagging or anything, but I had not felt that feeling since after waking up from the second surgery. my question is should I go into the ER or try something specific? I bit the bullet and took some gas x and drank a hot cup of cider which always seems to get me going.

Sorry for the long post, just tryin to be my best advocate!