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Hi everyone! So for about the past three weeks I am mostly straining when I go to the bathroom and I can't seem to help it. I feel like I have to strain to totally empty my pouch to the best possible extent. I've also been seeing blood about 2 to 3 times throughout the day. Usually a little in the toilet or on the toilet paper or even a few streaks in the stool. I'm really not sure if it's a hemorrhoid or could I maybe have a prolapse j pouch even? My doctors thought it could be a mild case of pouchitis but I didn't think it was that, who knows! I'm new to the j pouch, only about a month since my take down and starting to get a little nervous that I could have a prolapse j pouch because of the pain my bottom endures...although I was just thinking it was butt burn, but then again I almost think I can feel something by my butt when I am straining. It's so hard to tell! I could use some input and advice thanks!
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Hi,

I'm three months post take down. I experienced the straining for the first two months at least, and still do a little. I had blood and the same feeling you describes as something being in the anal canal. I had my surgeon check, and it was hemorrhoids. He's give. Me one shot treatment, and though I still have more to go, it's helped a lot. I still have sore moments and occasional blood, but far less than before.

Did your surgeon check for hemorrhoids?
I found with my pouch that when things are fine, going to the bathroom is fairly quick and not a lot of pushing. When straining and pushing starts happening, it's almost always inflammation from pouchitis (for me). You're a month in, so it could be inflammation. Have them double check for hemorrhoids but know that pouchitis feels different with different people. Good luck!

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