I have the same symptoms that you describe with the frequency and aching and it ends up being pouchitis. I usually have my gastroenterologist fill my prescriptions, but there have been times that he isn't available & I have used my family physician to get me a new script. My family doctor might be limited in his knowledge of my pouch, but would do anything to help me if I needed it. This is exactly why this forum is so important as it gives you knowledge so that you can participate in your own treatment. Hope you find relief soon!