If you have had the pouch 32 years with one or two isolated incidents of pouchitis and a recent scope shows things were fine, it would be extremely premature to consider biologics, although it sounds like you may be having a pouchitis issue. Scott's suggests on hydration and perhaps Metamucil sound like a prudent first step as you may be getting dehydrated for some reason. If the issue persists other antibiotics besides Cipro should probably be attempted. I would also suggest you may also want to try Pepto Bismol in conjunction with proper hydration as it will kill all the bacteria that may be causing any pouchitis issue, although it's not something you should use chronically in lieu of antibiotics. And it can be tried alone or between antibiotic dosages (at least 2 hours apart).