Considering a reversal, but only theoretically ...
This post is me kind of unburdening myself to like minds, so I hope it's okay if this is a little meandering. :)
The past couple of weeks I've been up and down with my j-pouch (which I've had for two years now), which has become somewhat of a trend. I've found psyllium fiber to be a game-changer for helping to create more "formed" stool and reduce irritation, but for whatever reason, it doesn't always work consistently. So I can have a couple pretty stable weeks, and then a week of looser, more frequent bowel movements, despite still taking the fiber. There's some kind of magic formula I haven't quite figured out ...
Along with that, some days can be gassier than others, and when at work, that creates some general anxiety about going to the bathroom. It reminds me of the days of active ulcerative colitis (I had been asymptomatic for awhile before my j-pouch surgery), which is not a memory I enjoy reliving!
I can't say that I'm seriously considering a reversal back to an ostomy - I'd spent a few rocky months with the temporary bag dealing with leakage, and it was only in the couple of months leading to my takedown surgery that I'd really found a strategy that worked for me (barrier ring plus convex ostomy bags, hooray!). But at the time, I hadn't realized that fiber and Imodium were an option, and I wonder if that would have made my stool more manageable, and less leaky.
Sometimes I find myself waxing nostalgic for the ease of emptying the bag, the relatively noiseless bathroom visits, and not dealing with occasional accidents at night. I'm probably over-romanticizing how easy it would be if I went back, and I feel like there are still positives to having the j-pouch, that I wouldn't want to flippantly do a reversal when that would be a permanent decision.
Not sure if anyone else with a j-pouch has struggled with the lesser of two evils (bag vs. j-pouch) and whether the grass will always be greener on the other side ... for now, I plan on troubleshooting what I've got, but it's hard not to wonder if it'd be easier switching back. :)