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Reply to "Please help: Difficulty Evacuating Pouch"

It's my understanding that MRIs are considered risky in early pregnancy. I could have one later on. Scopes are fine without sedation, (I believe) but I have never been scoped without sedation, so I am not particularly looking forward to that.

The doctor's appointment was pretty unhelpful. He was reluctant to schedule a scope or prescribe meds without having it approved by the OB. He also wouldn't offer any theories to me about what could be going on. It seemed like maybe he thought it was pouchitis, but he didn't give me a solid answer when I asked, and I don't see why he would need to scope before giving me medication for pouchitis. He only talked about Cipro and Flagyl, neither of which the OB is going to OK until after the first trimester. I know there are alternative antibiotics that are considered safe this early, so I don't know why he didn't know or mention that.

My symptoms all started with the mushrooms. I didn't have any symptoms before that point, which is why I kind of doubt it is pouchitis. It has also improved a little (not significantly enough for me to feel secure) and I have never heard of pouchitis improving without treatment.

the GI gave me a rectal exam--said everything felt normal inside at the bottom. He said there was no stricture there. He otherwise wasn't forthcoming about the exam. Would he have been able to feel it there if the jpouch had prolapsed?

I think I did something when I strained. But I don't know what I did or how serious it may be. Would my symptoms be more painful if it was prolapsed? Could it be a mushroom is stuck? If it is--would he have felt it on the exam? Should I be trying to get this scope sooner? Is a stuck mushroom dangerous??

I go back in a month after getting possible treatments cleared with the OB in two weeks. (My OB is lovely though and would probably tell me over the phone what was safe and what wasn't) so should I even wait for two weeks?

I am so sorry this is all over the place. I'm just so worried and feel like I'm not getting any professional help at all. Doc told me to buy VSL (capsules as he didn't give me a prescription for the packets) and do a low FODMAP diet.

Has anyone else ever strained and then had these symptoms after the fact? Did they resolve on their own? Do you know what happened?

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