Scott F, Thanks for your reply. No, I have not asked my Dr. why antibiotics make things better for me, but I will when I see her for my pouchoscopy next month. I assumed it was because I attributed my symptoms to pouchitis and the antibiotics are often used for this. I did not notice any changes after the dilation I had last year, but that maybe because my Doc seemed to imply it wasn't a "major" dilation. Is there a possibility that a stronger dilation would cause me to have more leakage rather than less?