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pouchitis

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Hi! Just wanted to know if anyone out there has chronic pouchitis that has not responded to antibiotics, probiotic therapy. I've had a j-pouch for 16 yrs. and have had chronic pouchitis most of that time. I have severe bloating, cramping, back pain,etc. My motility specialist says there's nothing more he can do. I had a stricture dilated last week and some biopsies taken to test for Crohn's disease. Anyone with suggestions/therapy for this horrible illness? Thanks.
Judi

Explore topics in this discussion:

Carafate Probiotics Cipro Crohn's disease Pain Flagyl

6 replies

I had several bouts of pouchitis and had three week doses of Cipro but the last one was the worst one I was bleeding from the pouch it got so bad. I had to instil liquid carafate for awhile a couple of times a day. I was on Cipro 500 mg twice a day for about three months and it cleared it up. Most MD's are used to a 10 day regime but my GI MD was aware of pouchitis and said to really get it resolved we would have to go with the three month treatment plan. I have not had any since then. I hope this helps. Cipro seems to be the calmest antibiotic if you get stomach or bowel spasms. I can't tolerate many antibiotics. I hope you get some relief soon, I know how pouchitis feels, and it sucks. Barb

I've gone on/off Cipro alone, Cipro with Flagyl, Flagyl alone, probiotics for years. I don't remember doing a 3 month stint with the antibiotics, though. Yesterday I went to ER for severe bleeding. They didn't do anything for it, I was so upset. Bleeding still persists today. I told them it would - they didn't believe me. Tomorrow I see my surgeon - wonderful. Not sure if I even want to keep the appt. I'm so discourage with everything. Thank you for the info. I'm glad to hear you're doing better and that the Cipro is working for you. How long have had you had a pouch? Just wondering.

Judi

July 2005 I had an internal continent resevoir with Dr Rehnke at Palms of Pasadena in St Petersburg Florida. I have an opening the size of my baby finger that I put a hard plastic tube in a couple times of day to drain the pouch. From a cosmetic standpoint it is great. I was bleeding a lot. I ended up getting three iron transfusions. I have not had any bleeding since then. Back on Cipro now for a sinus infection. I cant take anything else or my stomach and bowels go into severe spasms. Until you find a MD who is experienced with pouches you will not get any resoultion. There are so few out there. Hang in there I know the feeling about not wanting to go to see the surgeon, I have had that same thought many times.
Barb

I have had a j pouch for 19 years and I have found that I am suffering from pouchitis more often and it is driving me mad Just had 2 weeks of I.V flagyl because I can't stomach flagyl orally and the pain is driving me mad. Any ideas

I guess I am lucky that way I have only a couple of bouts of pouchitis and it was cleared up with Cipro. Good thing because I have enough other problems to deal with.
Barb

Hi Judi,

OK - I beat you all; I've had the ileo-anal anastomosis/j-pouch for 21, going on 22 years. What about Rowasa (mesalamine) or Cortenema or Entecort (same thing??). They're all bottles of topicals which you insert/squirt into your anus x7 days. It used to work for me. I now have more than just pouchitis. I have Crohn's symptoms which includes a previous peri-anal fistula as well as small bowel obstructions (last one was in December '08). On Asacol for now.

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gimotility: RE: 2009 AGMD Digest.Motility Symp. "Hirschsprung's dis., most common cause of lower intest. obstruct. in neonates," Rodriguez MD.

gimotility: RE: 2009 AGMD Digest. Motility Symp."IBS accounts for 30% of all health related costs in gastroenterology" www.agmd-gimotility.org

gimotility: From 2009 AGMD Motility Symp.: "IBS is the most common chronic med. cond. worldwide" Pimentel, MD, http://www.agmd-gimotility.org

gimotility: AGMD Digestive Motility Symposium-Much Information & Insight. Stay Tuned For Highlights. AGMD: http://www.agmd-gimotility.org

gimotility: Hurry And Register For Extraordinary Symposium Featuring Renowned Experts In Digestive Motility. http://www.agmd-gimotility.org

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