Ct,
My issues are very similar to yours. I still take vsl3 ds and although it does nothing for my chronic pouchitis, I continue to take it to avoid c diff from constant antibiotics.
Within three days or so off antibiotics, my anal canal is on fire and I often start to bleed. I don't have the usual cramping, urgency and diarrhea that others describe. Lately even on low dose antibiotics I still struggle with nighttime leakage at times as I have ulcers in the distal pouch that will mostly likely never heal. I just hope they do not worsen.