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Does anyone experience the sensation of a full bladder when their pouch is full? Usually after dinner my pouch needs attention every 45 minutes and my bladder seems full to overflowing as the pouch gets active each time! Do you think the pouch is pressing on my bladder?
There is absolutely no pain, no bleeding, no sign of infection so I figure it must be the pouch.
If this is a newer problem for you, then the first thing I'd want to rule out is a bladder infection. You don't have to have pain or bleeding to have a bladder infection. In fact, two of the most common symptoms of UTI are frequent urination and/or the sensation of having a very full bladder, even if there is very little urine to pass. (I've had my fair share of UTIs, so I would know!).

If a UTI has been ruled out, it is true that the bladder and pouch are in very close proximity to one another, and that a full pouch can push on the bladder. It's one of the reasons why many pouchers have difficulty not "doing a number 2 when you only want to do a number 1."

That being said, your experience of frequent urination and having a sensation of a full bladder when your pouch is full, is definitely NOT typical of most j-pouchers. If you pouch is newer, one thing I might consider is whether or not you have scar tissue which is amplifying the problem, or if a nerve might have been nicked during surgery. OR, if your surgery was especially recent, I would want to rule out whether there might have been infection or local trauma to the bladder from catheter use (you can pick up a pretty nasty infection, not to mention local trauma or irritation, from one of those). It's also a possibility that your urinary tract symptoms have nothing to do with the pouch and are a completely separate issue.

The short of it: I would have this looked in to, sooner rather than later, especially if it's a persistent problem and is bothersome for you.
Spooky

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