No, a j-pouch does not work like a colostomy/ileostomy. A j-pouch works like a rectum. We eliminate waste in the same manner (through the anus) that we did with a colon/rectum. Because we have no colon, our ability to hold waste is decresed making bathroom trips more frequent. I am surprised this wasn't given to you as an option?
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free