@KennyJG44 posted:I'm guessing that is a sound plan?
I'm unfamiliar with the symptoms of cuffitis (if different from pouchitis) - would that explain the ever-present discomfort at the bottom, and increase during BM? Would that also give the feeling of tenesmus?
Cuffitis could do all of those things. I might have started with a rectal steroid, but the Flagyl might calm things down enough to make rectal medications less fraught for you. The longer-term management of cuffitis is ideally (if the condition cooperates) rectal mesalamine, such as Canasa suppositories. And if it’s a pouch twist none of this applies.