One small ulcer at anastomosis site but pouchitis in distal pouch above anastomosis site and cuffitis that is really doing me in lately. I am trying to wean off antibiotics as I have been on them since takedown and the rectal canasa does not seem to be doing anything. Every time I try to wean from antibiotics my bothersome symptoms return. The jpouch surgery has not been a great experience for me and yes my pouch is also very active at night and I rarely get more than 4 hours of sleep uninterrupted and many nights I feel lucky to get four hours of sleep in full.