Hi guys,

I've lived with my j-pouch quite comfortably for 15 years now with the usual 5+1 trips to the bathroom per day for most of the duration. Suddenly last week I had a couple of days where I needed to go 10-15 times per day. I thought it was just something I ate and that it would go away, but it's been over a week now and I'm still needing to go much more often than I normally do.

My symptoms:

Increased frequency
Increased urgency
Feeling of needing to go when there's nothing there
Minor pain / slight discomfort when passing stool
Dehydration even when drinking plenty of fluids

I admit I haven't done much research on pouchitis so I'm not too certain whether I have it or not or how to treat it even if I do.
Any help would be greatly appreciated, thanks.
Original Post
Some people have used probiotics but usually only after the pouchitis is in remission. I am not sure if you can get pouchitis in remission using natural treatments. I have tried a few like aloe vera juice, straight probiotics and they did not work. If the pouchitis is not effectively treated it will get worse.
This sounds like pouchitis to me too.

I don't know how it works in Australia, but in the US, we can usually get a prescription by just calling our doc and describing the symptoms. No need for an office visit or scope first time out. Now, if the antibiotics do not work or the symptoms keep returning after stopping antibiotics, then a scope is in order.

Studies have shown that supplements do not work with acute pouchitis. If they do, then you didn't actually have pouchitis. I usually like to wait a week or so to see if it is something that will just "blow over" and resolve on its own, but then I start taking Flagyl. One thing for certain, the longer you wait, the tougher it is to treat. So, the sooner the better in getting proper treatment.

Typical treatment is Flagyl or Cipro for 10-20 days.

Jan Smiler

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