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J-Pouch ForumsGeneral Discussion
How to settle down diarrhoea
CTBarrister All Pepto Bismol is, is bismuth subsalicylate. Its a metal which is toxic to bacteria in your bowel. It is also a mild antacid so I would imagine it is at least somewhat alkaline. I seriously doubt it will cause any burning sensation on the way out. I never experienced that. [ more ]
Kushami I have ordered some Pepto-Bismol. If I can’t take it, it can go in the medicine cabinet for other family members. Thank you @CTBarrister for the suggestion. [ more ]
Former Member ❤️
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J-Pouch ForumsWomen's Health & Pregnancy
Vaginal birth or c section
Former Member PERFECT!!! My doctor told me to do the same. [ more ]
Sara Marie ❤️
JPouch2017 @Ciara93 I don’t remember my pouch/incontinence being a big issue after my C-section. I had all of the regular symptoms that anyone would post C-section. Mostly I remember the trapped air under the shoulder thing being painful but other than that, it wasn’t more or less hard than my vaginal delivery’s, just different. Good luck!! [ more ]
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J-Pouch ForumsGeneral Discussion
Personal info from forum
Kushami ❤️
CTBarrister If the board was hacked I would think everyone would have received the email, otherwise what was the point of the hack since the only thing of value would be the privately stored emails of members? Which reminds me that medical offices have become huge recent targets for ransomware attacks. I work as an attorney and handle many personal injury cases, and just in the past year, settlement in a couple of my cases was held up due to such attacks. I could not get current bills on my clients... [ more ]
Jan Dollar Could you send me a copy of the email in a private message please? I I will send you a PM you can reply to. I will make sure the site administrator Bill J looks into it. I am traveling right now, but check my email daily. As far as I know our profile information is not shared with marketers. Jan [ more ]
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J-Pouch ForumsPouchitis
Creon or Pouchitis with Fap jpouch
Former Member I see you are from Bulgaria! You write excellent English! Yeah I think you have pouchitis for sure. I would get antibiotics and see if that helps. [ more ]
Borislav I was 67. 5 kilograms now i am 65.7 kilograms i eat but everything is watery stools can because is like dirrhea lost kilograms(kg) [ more ]
Former Member Oh shit that is high AF!!!!! I would say you have pouchitis but I am not sure with the lipase thing unfortunately. [ more ]
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J-Pouch ForumsGeneral Discussion
Living with a JD-Pouch - 5 years in
AMB "Stay strong, drink your water, and be kind to your medical support staff." Best advice ever! [ more ]
Former Member @JDsLightLab Have you ever tried a cheaper version of wipes??? The wipes you use are pretty expensive, just wanted to make a suggestion for you to save money. I use fragrance free wipes from Target (target brand) and target brand also makes sensitive skin moisturizing wipes as well, if you do not have a target in your area- i am sure walmart may be in your area. Have you tried or thought about using cheaper brand wipes??? [ more ]
Aimc ❤️
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J-Pouch ForumsWomen's Health & Pregnancy
Menopause and pouch problems
Sara Marie I didn't end up coming off HRT but I did reduce my estrogen and progesterone dose and this helped me in the reduction and frequency of PMS symptoms that include lower back pain and butthole irritation (especially hemorrhoids). I wonder if you're having an increased sensitivity to foods or a reduction in your production of digestive enzymes? I have been experimenting with those lately and they have helped reduce bloat and I feel like I'm getting more nutrition/energy from my food. That paired... [ more ]
Allison My pouch has been going crazy in the last year during perimenopause. I'm getting a lot of bloat and not going to the bathroom as much as I used to during the day, but going all night. I go to bed looking pregnant then wake up after several trips to the bathroom looking normal again. Anyone have any tips? Does it settle down once you're in menopause? [ more ]
Sara Marie ❤️
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J-Pouch ForumsGeneral Discussion
ETS2 Gene
RHolt Okay, I found a nice summary here by the Crohns and Colitis Canada: https://crohnsandcolitis.ca/Ne...s-Uncovering-the-Hid It seems that what they discovered is that a gene in the non-coding area of DNA can actually turn on inflammatory action of cells that can lead to IBD and even colorectal cancer. They are not sure how this will translate yet into treatment or prevention, but it is an exciting development. Thank you for making me aware of this, Paul. [ more ]
RHolt Hi @Paul123, Can you please say more about this and where you found the information? I am curious. I will do a web search myself, too. Thank you. [ more ]
Former Member ❤️
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J-Pouch ForumsGeneral Discussion
J-Pouch Prolapse
Ljz Safado, I know it’s even years and hope you’re repaired j-pouch still:doing great! Can I ask where you had your pouch fixed and did the repair hold? Thanks much. It seems I have a prolapse pouch but haven’t yet discussed surgery details. Just confirmed diagnosis this week. Thanks for any info you can share.ljz [ more ]
Safado Thank you Scott. I appreciate your help and the insight from your posts. I hadn't heard of Konsyl but looks like a good option for all-natural psyllium fiber. It's a good point that I need to be patient with my body healing so thanks for mentioning that. [ more ]
Scott F First, be patient with yourself. You’re recovering from surgery, and your body will keep changing/healing for a while. I take one full dose of psyllium (per the package directions) before breakfast and dinner. It’s easy to experiment with the quantity to see what works best for you. I actually mix a half dose of Metamucil and a half dose of Konsyl, but the amount of psyllium is the same. I take one Lomotil at bedtime to help me sleep through the night. I rarely take a bowel slower otherwise,... [ more ]
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J-Pouch ForumsGeneral Discussion
J-pouch anal irrigation
Former Member I dont think I got answer about this or not. Do you still keep in contact with the people that have your son's organs??? [ more ]
Former Member Yeah I get it. But it also gave you a new life too! Over 30 years of peace. Might be good to celebrate that peace! [ more ]
Former Member ❤️
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J-Pouch ForumsGeneral Discussion
Blood test
Jaypea CRP is merely a marker for inflammation. It could be high for any number of reasons. I once had a CRP of over 300 and the doctors never did find out why. I was fine two weeks later! [ more ]
Scott F The Prometheus test is the only blood test that purports to distinguish between Crohn’s and UC. It’s not very reliable. The distinction often isn’t very important - in my case they never actually figured it out. If you have active inflammation it should be treated, of course. CRP can help assess inflammation, and there are a variety of other tests that also can help with that. Unfortunately they can disagree. [ more ]
Former Member The only test I am familiar with is the Prometheus test that test for crohns or ulcerative colotis [ more ]
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J-Pouch ForumsGeneral Discussion
Prolapsed J-Pouch Solutions.
Ljz I know this is an old thread but just wondering how your appt went ( I know king time ago) and if you had surgery to repair prolapse. You may no longer be visiting this website but personals someone else had experienced a prolapsed pouch. Interested in surgical or non surgical options and where people are finding best, trusted care. I have had some tests done but have couple differing opinions from surgeons, at 2 different teaching hospitals, whether pouch or mucousal lining is prolapsing. [ more ]
Former Member Thank you GKU_51 & TROTTS. [ more ]
Trotts Hi, just wanted to wish you luck and heal fast! K im E [ more ]
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J-Pouch ForumsGeneral Discussion
Good days and bad days
CTBarrister Hope, I am doing good and have been for a long time. If you had surgery in 2022 you could be experiencing a lingering motility issue. Try taking the lomotil as I suggested 45 minutes before meals and if you see a noticeable decrease in BMs right after eating meals, it's definitely a motility issue. Lomotil is the drug prescribed for such issues, as suggested by its name although a better name would be Slomotil. As in slower motility. Many doctors call this phenomenon "spasmodic pouch",... [ more ]
Hope Its OK Thank you for the detailed reply. My doctor did not mention that about Lomotil. He only said to me to take it morning-noon-night twice each time. But to be honest with you, I feel like it does not help sometimes. I’ll try your method for a few days and see if it helps. About motility, I’ll also research that. I’ve had my latest operation in 2022 summer so it’s been now 2 years. My doctor keeps giving me this iron pill that makes me ill with so painful diarrhoea and does not plan to give me... [ more ]
Aimc ❤️
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J-Pouch ForumsPouchitis
oregano drops/antibiotic effect
Sara Marie I have used oregano oil capsules short term (like 10 days) to deal with minor infections/internal inflammation and on the skin as an anti-infective. I haven't used it for anything that would be called full-blown pouchitis. The type I have used is Gaia. https://www.amazon.com/gp/prod...ge?ie=UTF8&psc=1 Some people swear by Manuka honey as an alternative to ingested antibiotics. I have only used it for skin irritations and it works great! It's a bit sticky though. [ more ]
cindy greeley I would love to know more about using oil of oregano drops. I’ve had a J-pouch for 15 years and deal w/pouchitis and have to go on cipro. I am curious when I read the thread it dates way back to 2017 rather than anything more current? [ more ]
Jmakled Can someone please please just share the name brand of the pure oil of oregano that they have had success with to stay off of antibiotics. I am desperate for some relief and the cipro is starting to lose its effectiveness. Not to mention tearing my tendons apart. please just share a name brand. Because all brands claim to be pure high quality. [ more ]
See all 49 replies...
J-Pouch ForumsK-Pouch Korner
Stricturplasty on the Valve / Valve Replacem’t
Former Member I am so happy to hear that!!! For people that cannot have a j-pouch now have another option with a continent pouch!!! Praise GOD!!! I thought it was nearing impossible but I see its possible now!! Thank-you!!! [ more ]
Kim S Dr. Kiran probably does the most continent pouch surgery in the U.S. Very talented and caring. His practice, Columbia Surgery, is located in a building right next door to New York Presbyterian Hospital. I traveled to his office for a routine scope a couple of weeks ago. He repaired my valve and parastomal hernia in 2019 and I’m doing great. [ more ]
Former Member Found him!! Thank-you!! I was scared no surgeon does that surgery anymore! Glad there are some that still do! [ more ]
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J-Pouch ForumsGeneral Discussion
Pooping yourself on your rectal/incontinence pad and not even having feeling that you did so until the real urgent defecate comes on which sends you to your bathroom to find the effluent in a streak lined on your pad
Len78 Pouchomarx, I appreciate your response and you taking the moment to share that you are in a similar predicament I went out from morning till 2 again today only to come home to a pooped up pad in my Briefs I have not experimented with psyllium ever and don’t know if the water cookies would do anything i too just deal but it would ibe humiliating if I had a partner I was given notice or rather a heads up prior to rectal stump/cuff excision use to the threat of rectal dysplasia / I have... [ more ]
Pouchomarx i had a redo in 2015 with a mucousectomy and ever since i am the same way. I always have to wear a pad stuffed up into the hole. I have more issues at night though but does happen minimally during day at times as well. I have tried psyllium husk and Imodium and those help some but it sucks. [ more ]
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J-Pouch ForumsHelp! Need advice now!
Which antibiotic for inflammation of pouch and script for med to heal anal 9ulcerations
Ljz Thank you all for sharing your research, info, expertise on recommended antibiotics for pouchitis! Much appreciated! I’m more than halfway thru my Cipro dosage and have managed to avoid getting sunburn even with holiday weekend. I believe it alone helped reduce my frequency, which is I guess the most obvious symptom of pouchitis I had. After I messaged Dr re. taking both, reply was yes she wanted me to take both so I am almost a week into dosage of the Metronidizole. Haven’t noticed any... [ more ]
AMB https://www.gastrojournal.org/article/S0016-5085 (23)05142-9/fulltext AGA Guidelines are not the most exciting reading, but support Cipro and Flagyl as first choice antibiotics, including in combination Recommendation 3. In patients with UC who have undergone IPAA and experience infrequent symptoms of pouchitis, the AGA suggests using antibiotics for treatment of pouchitis. (Conditional recommendation, very low certainty of evidence) Implementation considerations • Based on available... [ more ]
Surya For what it is worth, I used AI to research medications for treating pouchitis. Not all physicians may know about these. Here is what I found: MEDICATIONS FOR POUCHITIS Budesonide and Entyvio can be used to treat pouchitis, although their use is considered off-label for this condition. Budesonide: This corticosteroid can be used for chronic antibiotic-refractory pouchitis, particularly in a controlled-ileal release form . Entyvio: This medication, which is typically used for ulcerative... [ more ]
See all 13 replies...
J-Pouch ForumsHelp! Need advice now!
BCIR
NSKDEV Can anyone recommend a BCIR surgeon in the US? Thank you sooo much. [ more ]
HEMU Hi , If you are in India do consult Mr Mark Yesudas Ranjan of CMC Vellore Hospital I am confident he can give you proper solution [ more ]
Former Member ❤️
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J-Pouch ForumsGeneral Discussion
Entyvio
virginiac Would be interested in everyone s side effects with Entyvio.. I did another post before I saw this one .. the aches and joint pain is overwhelming me ;( ;( [ more ]
Former Member What happened??? WHy did it stop working??? [ more ]
Former Member ❤️
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J-Pouch ForumsGeneral Discussion
Problems pooping the bed post j-pouch surgery
MH2020 I don't think anybody has noted this. Sure motofen, limotil, and other drugs are good at settling your belly and prolonging times between bathroom visits...but if you are having a lot of issues and you feel it is uncontrollable, please speak with your doctor about Tincture of Opium. I've not used this is about 8-9 years, but the 4-5 years surrounding my jpouch surgery I always had a vial of that stuff in the event "normal" methods didn't work. Tincture of Opium is basically a digestion... [ more ]
kangaroo woman I have this problem intermittently as well...usually when I eat salads or have only been consuming liquids. It usually happens in the wee hours of the morning. I sometimes feel it happening but am just too tired to get up. I think it's just something that some of us have to deal with, and it's not the end of the world. You live to learn with these things and just deal with it the best you can. There are worse things in life than a little leakage. [ more ]
Cdub Hi ArchAngelThomas - you're right, we don't talk about this enough (and certainly no-one warned me beforehand). Yes, it took a long time for this to stop happening to me. I dom't mean to dishearten you, but I think it was probably three or four years before it stopped happening to me, but every person is different. I would say (if you're not already doing this), try not to eat after 7pm, and try really hard to empty the pouch completely just before bed. My leakages also often happened in... [ more ]
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J-Pouch ForumsPouchitis
Pouchitis with possible Chron's
AllyKat I just finished my third loading dose. I was much happier on Entyvio. 10 years till it just stopped working. [ more ]
bionicbowelman I had my first infusion of skyrizi yesterday. Hoping this one works better than the humira and stelara. [ more ]
SteveG Yes, that initial course of prednisone really made sense. I was also recovering from a Covid infection and needed some additional weight. I hope that Skyrizi will help you too. [ more ]
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J-Pouch ForumsGeneral Discussion
Squatty Potty: Pros and Cons, which kind?
Former Member ❤️
Scott F I call them “discomfort height” toilets. [ more ]
Deb C I have always had difficulty emptying. Part of the problem is a mild rectocele but I have always suspected something else is not quite right. I have been able to live with it by using my fingers vaginally to do what I think of as straightening the shute. I looked into squatty potties then realized the stepstool I bought for the grandkids to use at the bathroom sink was right there in front of me. I still struggle to empty but the footrest does help since I'm only 5'2" with short legs. I hate... [ more ]
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J-Pouch ForumsPouchitis
Pouchitis/gallbladder
Hannah welstead I had ultrascans and CT scans iv got stones just wondered if people who had suffered with it notice that there jpouch becomes irritated and infected with the the gallbladder playing up. Thank you for your reply [ more ]
tulsamom When I had gallbladder problems, the pain was always on the right upper quadrant. But it might be different for different people did you get an ultrasound? That’s usually how they can tell I think.. [ more ]
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J-Pouch ForumsGeneral Discussion
Flying as an Ostomate
Zee3 Likewise, wish you the best as well! I’ve been overall happy with my decision - and hope things work out for you too! [ more ]
Pouch2021 @Zee3 yes, planning for pouch excision and end ileostomy in the next few months. Three days in the hospital is amazing! Gives me hope. Don’t love the 50/50 infection rate but imagine most are treatable. Will also ask about nerve damage in females with resulting urinary and sexual dysfunction. Doesn’t make sense that it only applies to males given the anatomy and perineal dissection involved with the surgery. Though expect they may not know the complication rate if not well studied. I didn’t... [ more ]
Mrs P ❤️
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J-Pouch ForumsGeneral Discussion
Life after J Pouch-interested
Former Member Some of us J-pouchers including myself keep my stool loose as well, the looser the better it comes out. When mine is thicken it hurts or I get dehydrated easily. [ more ]
Former Member ❤️
CeeeeCeeee All is well here since my takedown in July 2002! Very few hiccups and all easily dealt with. I eat and drink everything/anything including my favorite adult beverage....gin martinis! I eat popcorn with no problems and crunchy veggies and fruits.....apples with the peel! I don't limit myself by excluding any food/drink. I do try to watch portions because I can gain a pound or two or three by just looking at a piece of cake! I was 63 years old when I had my takedown. I, too, didn't mind the... [ more ]
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J-Pouch ForumsGeneral Discussion
Probiotics
Sfitz27 Thank you! [ more ]
Scott F Probiotics are a very expensive way to manage stool consistency. I’d suggest something like psyllium as an effective, inexpensive approach. You can tinker with the dose to find out what works best for you. The Wegman’s pharmacy did a bunch of looking around to help me find a “reasonable” price. Some pharmacies will make that effort and some just won’t. [ more ]
Shannalee How did you get the price down? I need to go up to 1 1/2 pouches at least per day. You did get a little knocked off. I don’t know if it tells below, but I got my pouch 6/20/2000. Only had pouchitis once. I take the probiotic to thicken my stool a bit, mixed results. [ more ]
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J-Pouch ForumsPouchitis
stress related pouchitis
Former Member Yeah definitely agreed!!! I went on a walk tonight and it was pretty relaxing! Maybe walking can help you too! And exercise in general! [ more ]
ChelleC I'm so happy, Mrs P, that things are going well for you. I have Cipro right now. If it doesn't clear things up, I will definitely ask my dr what she thinks of Entyvio. Thanks for the info! [ more ]
Former Member ❤️
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J-Pouch ForumsGeneral Discussion
HELP Why does my J Pouch get irritated by vibrations of vehicles or boats
ChelleC I seem to need to go more often during a bumpy ride. Don't know if it's actually because of the bumpiness or if it's 'all in my head' because there aren't many potties in the boats or cars. [ more ]
Linda2 Yes…it seems travel becomes more challenging I think maybe more so as the pouch ages. I hope you are able to find a way to overcome you challenges when you travel as well! [ more ]
Sara Marie ❤️
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J-Pouch ForumsHelp! Need advice now!
Cuffitis or Pelvic Floor?? Help!
Former Member ❤️
Sara Marie I learned recently that I don't have a rectal cuff. Maybe I should be thankful. [ more ]
Cb2009 Thank you for the update! So with the inflammation in the small bowel is he thinking crohns? Is that why biologics? I’ve always wondered if this might be the case with me. I’m seeing my doctor at Cleveland clinic on Friday so I guess I’ll see what they want to do next. I had a clean scope 6 months ago but this has been going on more recently. I’ve always had chronic cuffitis but it had been under control for a while now so now I just don’t know if it’s flared up, if it’s pouchitis (which... [ more ]
See all 25 replies...
J-Pouch ForumsGeneral Discussion
Leakage/incontinence & trouble emptying after Sphincterotomy
Former Member GEnius!!!! [ more ]
Surya Using mesh to repair a hernia in someone with ulcerative colitis or another autoimmune disease can indeed present some challenges. The body’s immune system might recognize the mesh as a foreign object, potentially leading to an inflammatory response or even implant rejection . This reaction can exacerbate autoimmune symptoms or trigger new autoimmune issues . As for sacral nerve stimulators, they are generally used to treat conditions like overactive bladder or bowel dysfunction. While they... [ more ]
Pouchomarx curious how this might affect people with UC? when i had my hernia fixed , Dr Shen was upset they used a mesh to fix it. He stated anyone with an autoimmune issue could cause more issues with putting a foreign material in your body. So far its been several years with no issues but i would think if a mesh could cause issues why wouldnt a stimulator?? [ more ]
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J-Pouch ForumsGeneral Discussion
Allergies and Crohn's
Sara Marie I use a Neti pot for congestion and it seems to help. Also I use "Easy Breather", and herbal formula that supports the immune system, for allergies. I don't have allergies as bad as some people, and those people all said the Easy Breather didn't work for them, but then again, they do all those other allergens like gluten and dairy. When I stopped dairy, I noticed a marked reduction in congestion and when I stopped wheat gluten I there was a noticeable decrease in systemic inflammation. I had... [ more ]
Sara Marie ❤️
Mysticobra I have allergies but not that bad. I did when I was younger. Allergy shots and the whole shebang. But they didn't have what they have now back in the 60's and 70's. Plethora of meds for allergies now. I'll use a generic Allegra and it takes care of my mild allergies now. Wish I had that back then. Allergies stink. Being polite. I did read up that sometimes as one grows older allergies dissapate. Go away. And vice versa. As of now I use a netipot. That may help. Can't hurt to try. And they... [ more ]
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J-Pouch ForumsHelp! Need advice now!
Need CC Surgeon referal forSomeone who has experience with complicated revisions
Former Member Oh great!! Thank-you!! [ more ]
tulsamom FYI Dr Remzi is now at: Northwell Health Center for Advanced IBD Care , on Long Island Good luck Ljz. I'll let y'all know how the appointment went, after Sept. 9th. [ more ]
Ljz Following, May be seeking appt with Dr Remzi as well. Ant other patients who’ve had surgery with Dr Holubar at CC recently, or kind of recently? Other CC surgeons or gastro who deal with problem jpouches? [ more ]
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J-Pouch ForumsHelp! Need advice now!
Difficulty Evacuating J-Pouch
Former Member Your welcome!!! Drink more water please! ASAP! [ more ]
Surya Thanks for the link, Lauren of Emerald City! I checked it out; cool. [ more ]
CTBarrister That's a low dosage, but if you experience an improvement in symptoms within 72 hours, you will have your answer. Your difficulty evacuating is obviously not related to your hydration as your GI diagnosed, but drinking more than 30 ounces of fluids a day and consuming electrolyte beverages will be good for your overall health. [ more ]
See all 17 replies...
J-Pouch ForumsGeneral Discussion
Prescription Iron Supplements
Former Member Yeah hopefully now it will work. Just like I could not have orange juice with my colon but now i can! [ more ]
Sara Marie Thank y'all for sharing. This is yet another thing that the marvelous colon did for us that we have to find a way to regulate externally! I will make sure my doc tests for iron. It was ages ago, when I had a colon and had active UC, that my iron tested low and I tried iron supplements, which made the bleeding worse. Maybe they have something better by now. This was probably 25 or 30 years ago last time I tried it!! [ more ]
Former Member ❤️
See all 33 replies...

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Bill Johnson founded the J-Pouch Group in 1997.

After a life long battle with Ulcerative colitis, Bill finally had his colon removed and was given an ostomy in 1993. A failed attempt for a j-pouch and then many surgeries to get back his health gave Bill the motivation to create a web site dedicated to giving support to patients who have had or are considering j-pouch surgery.

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