The possible need for a dilation (as you suggested) was my first thought. Another thing that can act this way is pouch prolapse, which is less likely but a bigger nuisance. It will be informative to see what the Cipro does, especially since you need to delay hands-on measures for the moment.

Hi Scott,

Thanks for the information. I had my first takedown January 1984. It is hard to believe that I am still having issues after all this time (a pouch recontruction 30 years later). The surgery is not perfect, but at least the quality of life is better than before.

Solomon, hi sorry for your difficulties. It does sound like you may need dilation. The incontinence is probably from being full of poop. It will leak out until you can empty your pouch. I've had both balloon and Hegar Dilators used for under sedation  dilation. My surgeon had me take miralax a couple of times a day to try to clear out all the build up. At the time I had to wait a couple of months before I could get my dilations. Believe me, taking the miralax gets pretty unpleasant. The purpose is to thin your output to pretty much water to get it to pass. Make sure you stay hydrated also. Hopefully this pandemic slows soon to allow for elective surgeries again. 

Aimee

To be safe. Call your GIoe surgeon and ask what advice they would give you.

Aimee