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Hi, I have just completed the 3 stage surgery and had my Takedown just 6 weeks ago. I have/had UC.

I know it is very early but I guess I am looking for some guidance, advice, reassurance.

I currently take 2mg Immodium, 1 in the morning, 2 at lunchtime and 2 before i go to bed. I also take 1 ts of psyllium husk in the morning and before my main meal in the evening.  I find that the husk helps to minimize my butt burn by increasing the bulk a little, but I was told to be careful as it can also act as a laxative.

My biggest concern is that I have only a few movements during the day and evening but I can have 7-9 movements during the night.  Is this normal ?

I know I am at the beginning of my journey and it is very early in the J poch useage.  Is there any advice on how i can minimize the amount of times i have to get up in the night.

As you can imagine sleep is becoming an issue.

Any help would be gratefully received.  Many Thanks

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The first thing I’d try is stopping the daytime Imodium. It may take a few days for your gut to adjust, but that is when you want to use the toilet. There are other things you can do (e.g. a small fatty meal at bedtime, like a spoonful of peanut butter), but I’d wait until things have settled into a new pattern using the Imodium to guide the timing instead of trying to suppress bowel activity altogether.

A few more thoughts:

  1. I’ve found that Lomotil works better for me than Imodium. The difference isn’t huge, and Lomotil requires a prescription, so I’d put that experiment off, too, until it’s convenient (and only if you still need some fine-tuning).
  2. It’s much harder to delay trips to the toilet at night than during the day, because the risk of an accident is simply higher when we’re asleep, and accidents in bed are quite upsetting. Sometimes when I wake up at night I decide to use the toilet, and sometimes I skip it, but I always have to think hard about it. I do usually sleep through the night now.
  3. Hopefully you’ve been advised to “stretch the pouch.” Once you’re actually letting the pouch fill up during the day you’ll get to gradually, gently increase the time between toilet trips. I think this may be as much about learning which sensations are normal partially-filled-pouch sensations that don’t require a trip to the toilet as it is about any actual changes to the pouch.
  4. You’re still in the early part of this. You will get better at it, and your body will continue to adjust.

Hi Lauren,

Thanks for the message and I appreciate your encouragement.
I am using a butt cream called Cavilon but I definitely could do with something better. I also use Cavilon wipes.

I find some days/nights my butt is on fire and other days not too bad.
still trying to figure it all out, so any guidance re butt burn is very welcome.

Thanks

Kevin

I know exactly what you are talking about. Yeah Cavilon did not do anything for me at all. I would definitely recommend Calmoseptine. You should be able to get it at Walgreens or CVS over the counter. I would get it ASAP! That is the only thing that has worked for me so far and I have tried a few different creams.

Calmoseptine will not be int he baby diaper rash isle, it will be in the Adult incontinence isle.

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