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I've had my pouch since 2000 and can't remember ever not straining even when having diarrhea. I have to strain to get things started then usually once or twice while I'm going. Usually there is gas in there and when I strain the gas comes out.

Do others have this happen and how can I stop? I have tried putting my feet up and various positions.

Advice?
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Same thing happens to me, Right when i sit down i end up straining a bit, once things start moving its like it found the door and the rest follows, after that once the "door" closes i have to strain a bit again to get the rest out, gas and all though thats usually harder to do. alot of times leaning to my left or your right i find helps as well, almost always to the point where one of the two cheeks is off the cushion.

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