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Not pouchitis, nightly severe incontinence

History - total colectomy in 2013, been on flagyl since. I can usually take 1-2 500 mg per week and have no incontinence and zero other problems. Flagyl isn’t working anymore. In the past I coupd switch to a new antibiotic for a couple weeks and go back to flagyl and it works again. I have had multiple scopes and each time my pouch looks perfect. My dr suggests it’s either IBS or SIBO. Any thoughts? Comments? If you’ve had this, what do you do?? I can’t keep getting up every hour to change clothing anymore. I’m also 5 weeks pregnant with my 4th (all post takedown). 

any help or thoughts are welcome! 

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