As Bill said. 

Look at the other pouch options. 

Seeing how your pouch is fairly new(4 years?) your surgeon may be able to help you on deciding what's best  

Good luck. 

Richard  

P. S. 

Yes. 

I was at the end of my rope. 

Mine was a unique situation. It was not normal. Everyone's is different as yours is. 

Isbella, it sounds like you might just be overshooting. If some ways of eating make things too loose, and other ways make you constipated, perhaps you can find your way into the middle. For me, at least, Metamucil helps a lot. Good luck.

Thanks Scott. I have to look into that . My doctor and a pharmacist had advise me to take that but it added more bathroom trips. 

Hi Bill  thanks . My doctor is not very useful , she has no time for questions.She is always in a rush. She just love to do procedures I guess!
I am looking for another doctor right now.

We all had some issues but this is what we have to live with...Take care

HI Isabella, I think your doing the right thing in finding a different doctor.  You need someone with the heart of a teacher and who is knowledgeable about J-pouch issues.  Unfortunately, we are different than the 'normal' colon people  Have this new GI check you for possible pouchitis. It could be you're having issues due to this or another issue that medicine can help.

That said, you might want to try to adjust when you eat certain foods and see if that helps to control output.  I only use juice in smoothies and rarely then.  I go for the real fruit because of its fiber.  I try to eat most of my fruit before lunch so that I'm not up a lot at night.  I would also try to add more thickening foods to your diet such as oatmeal, potatoes, white rice. Soluble fiber will be your friend.  Things will be thicker, but still move.  I also only use Almond milk with something thickening, like a smoothie or oatmeal. That way I get the nutrition, but it doesn't move through so fast.

I'm really sorry you are going through this really awful time.  I wish I had a magic wand that could make everything better. My pouch will be twelve this year, but it took finding a good GI for it to behave anywhere near 'normal'. (The first 9 years were not so pretty. I understand what is like to be afraid to go anywhere because your pouch may act up.) Know your not alone. All of us have issues. Maybe not the same as yours, but we all struggle.  The good news is we can struggle together and get help from real people who have had the same issues we have. Don't give up searching for answers!