Lori, I’m sorry you’re dealing with this. If this inflammation is limited to the area close to the J-pouch then it could simply be backwash ileitis, caused by stool sitting around in an organ poorly designed for the purpose. OTOH we are all prone to the same diseases we were prone to before surgery, and that certainly includes inflammatory diseases for most of us.
I couldn’t tell if you are perfectly well when on Cipro and Flagyl. If so, and the symptoms return only after you stop the medication, then it sounds like you may have simply developed chronic pouchitis (antibiotic dependent). If that’s the case then you would ideally try to find a few different antibiotic regimens that keep it under control, and rotate among them (at the lowest effective doses). Lots of us here do that quite successfully. I’d prefer not to be on antibiotics all the time, but it’s much better than pouchitis.