Has he been checked out for pouchitis (ie inflammation of the internal pouch)?
The main symptom for most patients is an abnormally large number of stools: an increase from 4 to 6 (on average), or more. Patients may also experience rectal bleeding, abdominal cramping, a sense of "urgency" before having a bowel movement, and fever. It's usually treated with antibiotics such as cipro and flagyl.
The large intestine is responsible for absorbing water and salts, potassium and magnesium.
Signs of dehydration include:
Thirst, dark urine, decreased urine, Sleepiness or tiredness, muscle weakness, headaches, dizziness and lightheadness.
A lack of salts and potassium can lead to painful cramping (esp in the calves of the legs while sleeping).
If the cause isn't found, maybe it's worth thinking about switching to a permanent ileostomy instead?
The w-pouch is really not practiced much anymore due to complications of function. This surgery was replaced by the j-pouch which is considered the gold standard for surgery due to UC. I imagine you live in the midwest? I would highly recommend you and your husband get an evaluation at the Cleveland Clinic in Ohio. There might be functional problems that could be identified there. As for the role of the colon, as you noted it absorbs water and holds waste. The small intestine is where nutrients are absorbed and your husband should still have that part, the terminul ileum.
That's good information, Shaz, thank you. I suppose it would be best for all of us to have medications in liquid form. I understand that there are tons of undissolved supplements in our water treatment system, especially calcium tablets. I certainly am pleased to have found this forum. Linda