How long does the pain last? Does it happen at any other time? Does the pouch function well otherwise? Has  your pouch been scoped periodically (and how did it look)? What meds are you taking? Where in the abdomen is the pain located? Does anything seem to make it worse (or better)?

Pain can last hours.  Pouches scoped two years ago.  Looked good.   Pain in in my abdomen.   Primarily low and worse on the left.  I haven't noticed any foods to make it worse or better.   Take ibuprofen,  naproxyn for pain.   Other than adhesions which had to be surgically removed in 1998, I have had no problems with my j pouch. 

Thank you for your reply.

Pam

Has this pain been going on since 1986, or did it start more recently? Also, does the pain move?

Your choice of pain meds may be the culprit. Even though your last scope looked good, you can easily have damage not in the area scoped. Since you had ahesion troubles in the past, this can also be another suspect issue. Lysis of adhesion surgery seldom takes care of all of them. Plus, new ones can form from the lysis procedure itself.

What does your GI doc say about your pain?

Jan

Then pain has been going on for the past nine months.  J pouch worked perfectly for the         first 25 years.  Then I had abominal surgery fot adhesions that has formed around my small intestines and not in the j pouch.  Had a pouchoscopy two years ago with repair of anal fissure.  Surgeon created anal vaginal fistula trying to repair anal fissure with porcine tissue.   .       so now I have an additional problem.    pain in abdomen is after I have a BM.  Going to make an appt to see a gastro doc next week.

I have horrible pain when my pouch is emptying. Like right at the end. Feels like my pouch is ripping away and it's going to come right out. I know it's not of course. But that's the best way to explain it. Other than that I have pretty constant adhesion pain throughout my abdomen. Plus a pretty steady string of partial blockages. I had my pouch scoped about 6 months ago and they said it looked good and all the pain is probably because of all my adhesions. And I'd be hard pressed to find a surgeon that wold do an adhesion removal surgery on me. I've had my pouch for 13 years with constant issues since day 1 though. And I've always had an extremely physical job with extremely heavy lifting. So that definitely doesn't help the adhesions. It's just one on top of another throughout my whole abdomen. I hope they can get it figured out for you. This is a great place to get answers. I've learned more on here than I ever learned from the doctors.