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Jpouch complication?

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Ulcerative Colitis
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Niks
Regular Member
Joined : Jul 2015
Posts : 76
Posted 1/6/2023 5:52 PM (GMT -8)
Background: I’ve had a jpouch for several years with rediagnosis to crohns recently, as well as fistulotomy.

Issue: I’ve had constant stool leakage which I assumed was from the fistula/setons for over a year.Had the setons removed and a very minor fistulotomy months ago, but still leakage. (To the point I cannot go without having gauze between my cheeks to catch it). But I’ve also had frequent abdominal (mainly belly button and lower region) bloating/distention, sometimes after eating and sometimes not. Often even when I have to urinate, my lower abdomen near my pelvis below my belly button blows up and feels hard. Also Sometimes I feel like I have trapped air or even still some stool left after using the bathroom. It sounds dumb but it almost always feels like my insides are just “hanging” there with no internal support.
I’ve gained weight slowly the past few years and I figured I was just getting a little fat (I’ve always been very thin) but I’m suspicious. I’ve wondered if it could be undiagnosed celiac or jpouch prolapse maybe?

The bloating and distention is annoying but my main concern and complaint is the anal stool leakage. I still have continence but there’s so much leakage it’s bothersome and It’s gross and I have to change gauze several times a day every day.

Any advice or experience input is appreciated
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iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16415
Posted 1/8/2023 11:59 AM (GMT -8)
Have you seen a doctor to examine and run tests? That'd be where I'd start.
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clo2014
Veteran Member
Joined : Feb 2015
Posts : 1845
Posted 1/8/2023 6:50 PM (GMT -8)
Niks,

What did your Colorectal. Surgeon say?. Have you had any imaging done?. What do your labs look like?

Clo
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Andreita
Veteran Member
Joined : Aug 2011
Posts : 3838
Posted 1/10/2023 7:45 PM (GMT -8)
Dr Remzi fixed my jpouch
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ks1905
Veteran Member
Joined : Sep 2005
Posts : 6362
Posted 1/11/2023 3:31 AM (GMT -8)
Does your GI treat a lot of patients with j-pouches? You want a GI who is familiar with j-pouches and their complexities.

What meds are you taking to treat your crohns?
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