Pain around end of pouch

You could have stretched the 'cuff' area- where the rectum stump is connected to your pouch. the incision area may have some scar tissue that you stretched or tore with a poop with a larger circumference than the incision area. It takes a day or two for the pain to go away.

I've been sore in that are too for a couple of days, sometimes from over straining. Later I learned it was due to scar tissue making the opening the size of a pea, very different than you but created similar pain. I take a warm epsom salt bath and/or sit on a cold pad to reduce swelling.

Eat lower fiber food that is easy to pass through your sphincter for a few days, like FODMAP. take a laxative (if they work for you) or some magnesium (works better for me).

I think I need some information to judge:

What did you eat today?

Did you have a sufficient enough of water today?

How did the stool look in the toilet? Please describe as best you can.

That's a great catch, I assumed everyone with a j-pouch subconsciously tracks food, drink and what your poop looks like.

But maybe I'm just a bit different.

@Mary2017 posted:

I think I need some information to judge:

What did you eat today?

Did you have a sufficient enough of water today?

How did the stool look in the toilet? Please describe as best you can.

I had a bowl of bran flakes and a fried egg sandwich (white bread) up until I went.

Stool was watery and loose as is usually the case. There was no sign of any blood. When I pooped it felt very tight, hence the explosive nature of it.
I possibly could have drank more water but it wasn’t much less than what I’d usually have.

Feeling better today after some rest. Many thanks for the replies. I think I got a bit of a shock wondering what it was that happened. Something to keep an eye on anyway.

@BrianC posted:

Feeling better today after some rest. Many thanks for the replies. I think I got a bit of a shock wondering what it was that happened. Something to keep an eye on anyway.

I have talked with other J-pouchers that have pain with raisan bran, since you had bran- maybe that was related.

That's good that your drinking water though and that you stool is watery, that keeps everything easier to pass in my opinion.

I am glad your feeling better! The Calmoseptine has good properties for butt pain, maybe you can use that next time too.

My first guess would have been an anal fissure, but since the pain was short lived, it is more likely just anal irritation. There’s a lot of pain sensors in the anal canal.

Jan