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I am new to this site.  I just had my takedown surgery 3 weeks ago and am still struggling to get my bowels under control.   I take Metamucil before or after every meal and that has helped with what I call the "battery acid" dumping.  But it seems like I go between too thick and too watery, and watery is still painful!  I also had a lot of tenesmus and urgency the week after my surgery so my surgeon put me on Cipro, Flagyl, and steroid suppositories to try to calm things down.  I think it really helped but I am 2 days off the antibiotics now and the urgency is back.  Is this really pouchitis this soon or is this just the normal post-op course of my pouch?

When I do get my stools thicker, I seem to not be able to empty completely.  I will spend 10-15 minutes on the toilet, and be back every 10 min for an hour or two.  Any suggestions on how to completely empty?

I am also trying to figure out more things to eat as bland gets old fast.  I have avoided red sauce and spicy but had a piece of garlic cheese bread today.  Is garlic painful on the way out cuz I am having a rough afternoon....

Thanks for anyones input.  This recovery seems to be a lot worse than I anticipated.  I sailed through my first and second surgeries but this one has been super tough.

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A few hours after my takedown, I also developed the sensation to continually empty my pouch, no sooner had I'd finished, I need to go again, not quite the same urgency I'd experienced during a UC flare up but definately the need to get back and go again but there was nothing there to empty, although I was certain I wasn't emptying.

There was no pain or discomfort, just the sensation to push and open my bowels, although, gradually it became more and more painful, excruciatingly; so much so, I stopped eating, believing my BMs would cease or a least be less, but stoping eating made little difference.

The sensation felt like I was trying to pass something the size of a golf ball; it was only excruciating painfully durring BMs.

One of my Doctors said it was butt burn; luckily after a day or so and due to not eating, my BMs reduced to 4 or 5 per day, so although still excruciatingly painful during BMs, it was a little easier to tolerate.

However, out of desperation, I applied a small amount of ilex paste just to the inside of the anal sphincter, I felt instant relief, although now it felt like my butt was sealed shut, it wasn't and this feeling was preferable to the sensation to push and the excruciating pain.

I continued to apply the ilex paste in such a manner for a few days; confirmed it was ok with my Nurse and within a couple of days, I didn't need to apply the ilex paste internally any more; although from time to time, almost 2 years since takedown, I stll need to on occasions.

I discovered that during my takedown surgery, what remains of the anal canal, it had to be dilated and the dilation possibly created tiny tears (anal fissures) to the lining of the back passage and these fissures were being washed in bile acid during each and every BM, that's why it was so excruciatingly painful; I also believe the presence of the fissures created the sensation to empty when I didn't need to.

FM
Last edited by Former Member

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