I've had my pouch for going on 15 years and have lived pretty comfortably with the various "issues" we j-pouchers experience: frequent trips to the bathroom, itchy butt, anal strictures, and low-grade chronic but manageable pouchits. I am on 500mg of Cipro twice a day and use hyosciamine to control spasms.
Recently I have been experiencing bouts of minor incontinence during the day. (I think being vertical contributes to it.) When I get a spasm or urge to go, sometimes a little stool drips out that I can't control. It's always a small amount for which a panti-liner is sufficient, but it requires that I quickly find a bathroom to change the liner. It has been getting more frequent which worries me that my anus is "wearing out" (weird, I know) and that eventually I will lose more control.
Has anyone else experienced this with a longstanding pouch? Any suggestions, medical, dietary or otherwise? I am 60 years old and in very good physical shape. Thanks!