Hey RebelSue! I am looking at a possible Crohns diagnosis after having my pouch for almost 18 years. I had very few problems for 15 years (besides developing an annoying fistula about 8 years after having my pouch). The fistula of course was a huge red flag but I didn't have pouchitis symptoms, my blood work looked awesome, and I rarely had pouch issues like leakage unless I had some sort of GI infection. I don't know WTF happened to my pouch/immune system but after 15 years of almost zero issues (and 3 years into my insane PhD program/the birth of my daughter/surviving a health crisis with my husband), my fistula and pouch went to hell. I suddenly started having horrible fistula inflammation to the point where I got a seton and even after that it abscessed. I was on and off of combinations of flagyl/cipro/augmentin for over a year. I just got scoped and my small intestine looks perfect but I have small ulcers in my pouch. I am waiting on the pathology results. Apparently this is something that happens but I think its rare for things to be so good for so long and then end up with this kind of diagnosis. I am looking at Remicade/Humira depending on the pathology results and not at all happy about it. I wanted to say that if this is a rapid onset thing definitely schedule an appointment with a doctor. You could have pouchitis or a stricture and both of those are easier to fix than Crohns. It is also possible you have some sort of food allergies/sensitivities that only manifest when you are in an inflammatory state. I have horrible seasonal allergies and it turns out that if I am reacting to pollens in the spring, I also can't tolerate some foods I can normally tolerate. Anyway, it sounds a lot like gas pains that are made worse by something happening with your pouch. Good luck. PM me if you want to bitch about the combination of a PhD program, a husband that isn't super supportive/has a lot of their own needs, and a J-Pouch that is acting up. I used to be LC btw but for some reason I couldn't access my old login profile.