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Reply to "Pouchitis?"

You would have to visit a proctologist (or a GI doctor) to confirm cuffitis. For me with chronic pouchitis there was always a sharp border between normal skin of the anal canal and inflammation starting at the anastomosis of the rectum cuff.

As Scott said, mesalamine suppositories are also an option, especially if you had positive results with mesalamine in the past.

Oral budesonide (like Entocort) takes effect in the pouch region, it can soothe inflammation there. I've been taking it for many years.

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