He probably needs to be treated for an anal fissure, though I don’t know who to suggest in Pittsburgh.

What is that?

An anal fissure is a small tear in the anal canal. The “broken glass” description is very commonly associated with anal fissures.

Loosing weight on a J pouch in early days is pretty normal man. They've made a whole together new storage. Body needs time to adjust to it. Initial months of J pouch arent the best. Instead of going to doctors who dont know what they are doing he should start monitoring things for himself. Instead of taking anti depressant if he goes for a morning walk I bet in one month he'll see how much better he feels. It can take months before coming to a near normal state. Tell him to stop expecting to be completely normal and just focus on improving the current state.

He might need the antidepressant.  The colon is involved with making neurotransmitters used in our brains. Since he no longer has it there is a possible physical need for them.  Also going through these surgeries can cause situational depression and antidepressants might need to be used until he gets more use to everything. Do a search on "the gut as a second brain" for more information about neurotransmitters.

Hi

i have had a j-pouch for nearly four years. In itself it seems to be going ok but ever since surgery I have had almost continuous urinary tract infections and have been unable to sleep. Has anyone else had these same symptoms. Actually the UTI s seem to be getting worse and maki g me feel really bad.