I am taking different probiotics 50 billion 10 strains 1-2 daily + 1 Floragen 3 15 billion I am on Metrondazole 1000mg a day am going to try and eat more healthy I am SURE that and STRESS are the main culprits + dealing with constant Candidia (from antibiotics I am sure) acid reflux surgery in 2000 BUT still on Dexilant, I am a mess had a flare up not sure if it's pouchitis or hemorrhoids?? no blood in stool other then on (little) tolet paper at times 8 10 BM a day + wakes me up at night SO doing only thing that stops it fast 20 mg of Prednisone for a few days then taper off