I had colonectomy in 2001 with j pouch constructed because of UC . I developed a fistula in 2015 and had fistula repair surgery . Since fistula repair I am having frequent bouts of pouchitis. I take Cipro and Flagyl together which helps but about 2 weeks to a month after and sometimes maybe a week after I finish antibiotics I develop pouchitis again. I also have a lot of trouble emptying my pouch and frequently sit as long as an hour sometimes 2 hours on toilet because I never feel like I'm finished and have rectal pressure and pain sometimes most or all of the day . Also , since fistula repair my incontinence is worse than before fistula and pouchitis is much more frequent. Prior to fistula I can only remember having 1 bout of pouchitis. This recurring pouchitis, incontinence and rectal pressure and pain is really having a negative impact on my life . Any suggestions? Has anybody tried taking Flagyl or Cipro or both every day just once daily at bedtime as a preventive maintenance therapy ?