I had my takedown 15 days ago and my bMS are over 20 times a day. I spoke to my doctor today who said that the pouch is not yet "adapting to its new role".
Is this something i should worry about. Why do some have their pouch understabd their role quicker then others?
Should i worry that my pouch will never understand its role?
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What you are experiencing is normal recovery. It will take time; weeks or months, for your new system to learn its job. In the meantime you can try a few things to improve your situation. Keep a food log; measuring transit times of foods. In the beginning some foods may move through your system more quickly leading to your frequency issues and possible discomfort. This will change with time. Also you can try taking imodium and fiber to slow your transit and built bulk. Time and patience will be your best friend in the next 6 weeks or so.
Sue 
I agree. You should not worry. Your concern is a very common one. Expect improvement by 8-12 weeks. Improvement, NOT perfection!
Jan 
It seems to take anywhere from 6 months to a year to reach what will be typical j-pouch functioning for each of us. Patience is not easy but very, very necessary Best wishes!
i was struggling with the same questions/issues after takedown a year ago. recovery/adaptation times vary widely from person to person.
my recovery took about 6-9 months, but my takedown almost failed because of my height, and the surgeon had to perform a pelvic resection to make things reach. this one of the reasons i think mine took "longer to adapt." other reasons: stress, diet, family issues, bad relationship with GI doctor.
everyone is different, try to be patient and listen to your body's needs. your best friends are time and patience like the others have mentioned
other factors that helped me:
-immodium/probiotics
-small changes to diet (bland and slow)
-staying hydrated (with electrolytes)
-CBD regimen
-not eating/drinking for hours before bed (to help with sleep)
withdrawals from the pain meds can also cause diarrhea, once those are done frequency should decrease as well.
hang in there, it does get better!
