Thanks Scott for the reply. That makes sense, but it’s hard to pin point a problem for me. Pouchitis seems to be it, however I’ve tried all types of antibiotics, probiotics, fiber, and anything else GI drs have recommended. Also the stricture is a constant problem. The best I can explain it is that after eating, no matter what I eat, I get abdominal cramps, gas and bloating, and trouble completely emptying the pouch. I had a scope in November 2020 which did show pouch inflammation along with ulcers. I am in the process of getting a new GI doctor, and I’m thinking biologics might be the next step. I did remicade for a few months when I did have my colon back in 2019, which worked great until my colon burst. It’s all so complicated and hard to describe.