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Reply to "Could This Be Pouchitis, And If So, How Do I Treat It?"

This sounds like pouchitis to me too.

I don't know how it works in Australia, but in the US, we can usually get a prescription by just calling our doc and describing the symptoms. No need for an office visit or scope first time out. Now, if the antibiotics do not work or the symptoms keep returning after stopping antibiotics, then a scope is in order.

Studies have shown that supplements do not work with acute pouchitis. If they do, then you didn't actually have pouchitis. I usually like to wait a week or so to see if it is something that will just "blow over" and resolve on its own, but then I start taking Flagyl. One thing for certain, the longer you wait, the tougher it is to treat. So, the sooner the better in getting proper treatment.

Typical treatment is Flagyl or Cipro for 10-20 days.

Jan Smiler
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