Skip to main content

Reply to "Anybody try Align 4mg probiotic??? My gastro said I should try it for prevention of pouchitis"

I don't really keep track of my BMs but I am guessing maybe 5-7 per day.  I have a sense of when my frequency has increased and when my urgency has increased and if there is spotting at night.  These pouchitis indicators were all MUCH more common before I started Remicade and when I was on antibiotics alone.  The episodes are very few and very far between and much shorter since I started Remicade. 

To me what is much more important than the number of BMs is that my annual scopes demonstrate that the inflammation has been reduced significantly.  My GI reported to me that my most recent scope June 29 shows that my pouch is "looking good" (and better than last year) but that there is some persistent inflammation at the J Pouch inlet and the inlet is slightly strictured, but not so much that he cannot get a scope through it.  His test for whether a patient needs a balloon dilation is whether he can get the scope through the strictured area.  The J pouch inlet has been strictured since around 2007 or so, and it seems to be the area where inflammation is hardest to eradicate.  This is likely due to backsplash stool.  It would probably improve if I ate a lot less.

Last edited by CTBarrister
Copyright © 2019 The J-Pouch Group. All rights reserved.
×
×
×
×