Thanks Jan. My mid abdominal pain, pelvic cramping and nausea have been so bad for weeks now. The whole change in dysfunction has been 3 months. I am 99% that I have a stricture in the area behind the old stoma. GI doc is throwing around the Crohn's word again. I was diagnosed with Crohn's in 2008. On resection of my Colin, the surgeon said I had UC. Of note, my stoma was on the left for my loop ileostomy; somewhat unusual. I had a colostomy there from 6 months prior from a community hospital surgeon as he thought taking just that part of colon would suffice as my major inflammation was left sided. It did not. I agree with Amoxicillin and will look into a psyllium alternative. For now, I am a step away from taking myself to emerg. I have terrible sleep as the pain deprives me. My surgeon is elusive at best and I feel our relationship has broken down. There are only 3 or 4 surgeons in Ontario that do Jpouch procedures. Mt. Sinai and St. Mike's. My brain is as tired as my body now. Appreciate all of your suggestions Jan. Most helpful.