Constipation vs Diarrhea.....how to find the balance? Help please

XenophonMember

I am 2 and a half months out of takedown. I have had a month of blockages/ileus and am now back at work. I cant find the balance between full blown diarrhea butt and constipation. I take 2 immodium 4 times a day with fiber. I find that will get me feeling constipated but if I back off I get burning diarrhea. I recently am having occaisonal bleeding when I clean myself. I often have to strain quite a bit to move bowels. I am pretty discouraged. Any suggestions? Does it sound like a stricture? adhesions?
Please any help would be great.
Thanks
Xenophon

7/25/136:38 PM

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dgtracyMember

is the bleeding from wiping so much and it becoming raw? if your bleeding internally and D maybe pouchitis?

7/25/136:44 PM

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Jan DollarModerator, RN, retired

Unfortunately, these early months are very trying on your patience (and your butt!). Things are in flux and as soon as you think you've got it figured out, things change. So, you have to be willing to change with your adapting body.

For me, I would rather have loose, easy to empty stools. I don't have trouble with urgency or continence, so it works for me. I take Imodium to slow things down, but no added fiber to thicken things up. Over time, I've gradually reduced my Imodium need. At first it was 8 a day, now it is 2 a day, and I am in my 18th year. So, yeah, things are still changing.

Jan

7/25/137:45 PM

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