i'm so sorry to hear you're struggling again. unfotunately, what is happening to you right now is very common. the bowels are supposed to slow down after few mons post colectomy. not just for ppl with CI, but it also slows down for anyone who has a colectomy, cuz the small intestines adapts with time and starts to learn the colon's job. it never gets as slow as the colon, but it's totally normal for it to slow down.
i'm surprised at the fiberous diet you're on. i know for me and many others after a colectomy fiber can be a bit problematic. i'm no example, cuz i have inertia of my small intestine too, so fiber just makes me worse, but i've heard many have problems with fiber. maybe it was a good thing in the begining for you, but now that things has slowed down, maybe it's only bulking you more..?? i don't know, just a thought.
i think it would be worth to try cutting down on the fiber, take half of your usual dosage and see how it affects you. it is hard to find the right combination, i know, but don't get discouraged yet! you'll have to work on it, but i believe you'll be able to figure it out.
about the hemorhoids, if they are really bothering you, i think you should see a surgeon to give you a treatment for them. best of luck and i really hope things work out for you soon! keep us posted.
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy