@Scott F posted:In addition to Cipro and Flagyl people have used rifaximin, Tindamax, Augmentin, and a few others for pouchitis. Sometimes a combination of two works better than one alone, but a single antibiotic will generally have fewer side effects. If it’s definitely pouchitis and none of the antibiotics are working then a biologic medication might do the trick.
If the major issue is gas then it might be SIBO, which is usually treated with rifaximin or doxycycline for a few months. If the major issue is that it’s hard to poop then I hope you’ve been examined for a stricture at the bottom of the pouch (as one possibility). Another possibility is pelvic floor dysfunction, which seems to respond to pelvic floor physical therapy, though that can be hard to find. If you secretly have cuffitis then rectal mesalamine would be worth trying. Pushing “like hell” is apt to make everything worse, and may add a problem or two. Temporarily flushing the pouch with a catheter might turn out to be preferable to aggressive pushing, but that can feel like a big step.
The issue with popping is only when im inflamed. When things calm down i have no issues 
I will nag about some other antibiotics during the next week.