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Hi Holly

A thinner catheter will take too long to get the stool out. You should be ok with the one the nurses gave you at the hospital. 30 french Medina is what I use. Use lots of lube if you are bleeding. I bleed frequently when I do not use a lubricant. Olive oil works good.

There is so much info on pouchitis on this site. It is hard to diagnose. My symptoms have been bowel obstructions and lots of frequency and all liquid stool. But others will tell you something different. Look in the booklet they hopefully gave you. Good luck and God bless you will be fine as I have been and I am 6 years from my surgery.
Jeanne PS Work the cath around in cicles when inserting it. We all hit an area that is the covering which keeps the stools from coming back out. Never force thru then unless emergency
Stoma binkies are good to have around you can tape it in to stretch if you think it is getting smaller. or leave a foley or catheter in for 24 hours or longer. I had a catheter in for 8 days once to straighten out my valve.

I haven't had pouchitis yet but I have all the symptoms if I go off antibiotics. My GI can only assume I have bacteria overgrowth in the small intestine.
The stoma often shrinks down after it heals fully. The surgeon can correct this as it's not part of the valve. A colorectal surgeon should be able to consult and help (they can talk to the KP surgeon).

Using a smaller cath is better then nothing as you need to empty. But, yes, poo takes longer to empty and you really have to watch your diet as the cath holes are tiny.

Have you tried leaving your 30 french taped in attached to a leg beg? Or taped in and use a cath plug on the opened end? Then you just have to remove the cath plug to let poo flow. I used a bit of tape around the plug to hold it in place. I forgot what cath plug it was as it's been years but it worked till I had surgery.

Regarding pouchitis: it can vary. Sometimes diarhea and cramping. Sometimes alot of gas. Sometimes just pain. I thought I had an obstruction but after CTs all was clear. Pain persisted. So, took doxycycline (my old school prefered antibiotic) and it worked.

Try to eat bland for a few days and just see if the pouch is irritated. If problems persist, you may want to try an antibiotic.

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