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@lhstephenson
Hi, and thank you for responding. Yes I do have a J pouch. I do exactly what you do with the fiber, but I’ll tell you what really helped. Because I do still have diarrhea with the quantity you are mentioning. If you buy some Chia seeds and grind them (coffee grinder or mirror pestal) helps and put about a third ratio to the amount of psyllium fiber in your water, and shake like crazy they really help absorb liquids better than just the fiber. I too had the exact same problem getting any flavored fiber because of the citrus in some of them. But the brand KONSYL has worked better than any. I’ve tried less expensive then always go back to it. Or Whole Foods has a that work well . adding the chia to it just really helped . You can get them usually at a place like Whole Foods or similar. Or online. We will get a huge amount that you can also make Chia pudding with them if you do overnight oats or something similar to that. Chia absorb at least 10 times the amount of liquid when you take them so it helps with the drainage/diarrhea. I think the food particle issue with me
Is because of the stenosis which you don’t have. I’m thinking it has to be the stenosis, causing my problem since that doesn’t seem to be part of your pouch issues.. I hope I can help you a little by mentioning the psyllium and Chia seeds but do it before you eat like 10 to 15 minutes beforehand and I think you will find a significant change. Also, I take a little small sprinkle container with me. I go out to eat just the ground Chia. They have a kind of nutty flavor, but I sprinkle a little on food that I think is going to bother me like greasy foods are similar to not have to worry when I’m not home about trying to figure out how to take the fiber before a meal. I just take a small container and always keep it in my purse when out and about. Please let me know if it’s helped.

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Replies to "@lhstephenson Hi, and thank you for responding. Yes I do have a J pouch. I do..."

@frh I definitely need to try the ground chia food sprinkle. When I take the fiber powder, I put a heaping teaspoon in a 3 ounce glass of water about half full. Stir it and swallow it immediately. I almost choked myself to death one time because it solidifiedso fast it wouldn’t pass. Since then, I have reduced the amount to a small teaspoon, but it doesn’t seem to be very effective. I am hesitant to add Chia to the psyllium powder, ground or whole, because I don’t want to try to kill myself again! Lol🤣 that being said, putting the ground Chia seeds on food sounds like the perfect remedy. And also, I take it first thing in the morning and last thing at night, but not before meals. Perhaps I should just take it before meals. I’m also attempting to not eat after three or four in the evening so I’m not up several times during the middle of the night with issues.Unfortunately, nothing produces anything more than an applesauce type consistency stool. And it just pops on through to the vagina before it even gets a chance to hit the rectal area. I know this is probably TMI, but I appreciate the safe space in order to discuss things like this. I know eventually I’ll have to have another surgery to attempt to repair this fistula, but I am dreading it . In a perfect world, I could find several people who have had successful vaginal rectal fistula repairs. I guess I can’t complain, because I had approximately 40 years with no issues. This last year has been a bit of a nightmare though.