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Hi all,

Hope everyone is well.

A few hours ago I pooped but as I did the stool came out in an explosive manner and I immediately felt sore. The pain hasn’t gone away and is now affecting me in a way that worries me.

The pain is centred around the end of the pouch. It seems to come in waves and it feels worse when I tighten my sphincter muscle. I’m wondering is it haemorrhoids but I don’t think I ever had them before so I don’t know what they feel like.

My appetite is fine, I don’t feel nauseous and I’ve no fever. I haven’t taken a poop since  earlier but it doesn’t feel like a blockage, and the pouch is gurgling away as it normally does. I could definitely go right now but I’m worried about the pain when I try to pass the stool.

I’ve had the pouch for 25 years and I don’t recall anything like this before. Has anyone experienced anything like this?

Many thanks,

Brian.

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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).

@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.

@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.

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