I love my diet soda too! I usually don't get pouchitis from drinking it, but from eating too much sugar.  That being said, I know that diet soda will increase my appetite which may cause me to eat too much in general; therefore increasing my output.  It will also increase the gassy feeling in my pouch, which may or may-not be over the top.  It probably isn't good for the inflammation in my pouch either.    I know that when I drink it, that is the risk I'm willing to take. I consider it a treat and am trying to drink more water than soda

I drink diet soda, a small size, 222 ml.  I have not had any issues. What are you eating with your diet soda?  Could it be the food you are having with the soda?  (If you use a straw, you are swallowing more air, which could contribute to bloating / air / gas in the stomach and pouch.)

Hi.  Thank you for your response.  What I eat with the soda generally varies, and I usually don't use a straw.  People have mentioned sugar as being a problem.  I have cut back on sweets, but I juice at least every other day, which includes fresh fruit.  I'm wondering if the natural sugar in the fruits could be causing a problem. It's been very frustrating.  My doc suggested going back on a monoclonal antibody, which I don't want to do.  I'm currently on medical marijuana which seems to help a bit, but not enough.  

If your pouch is misbehaving due to sugar/carbohydrates in your diet then all sources of sugar are equally problematic: sweetened beverages, fruits, desserts, starches, etc. There’s not a special exemption for “good” sugar. I tried a *very* (close to zero) low carbohydrate diet for a while, and didn’t see any benefit, but others here have had much better results. It takes a while to help, if it’s going to help.

Still Standing is right about juicing and the amount of fruit you are getting in one serving. My doctor told me (I'm diabetic) never drink commercial bottles of fruit juice or even home made juicing. She said it takes many oranges to make that one small bottle of commercial juice and no diabetic would ever sit down and eat 4+ oranges. She said it would be healthier to peel and eat ONE small orange, including eating some of the white pith and membranes for the fiber. If you're juicing you are probably using several fruits at once. Maybe try a smoothie?  A smoothie can use one fruit (maybe a frozen banana to make it thick) and the rest can be unsweetened almond milk or soy, and some Greek yogurt for protein? 

While a very recent European study demonstrated that those would ate a moderate amount of fruit had a lower incidence of pouchitis than those who consumed hardly any, ”juicing” is a different animal altogether.  You’re dumping a large, concentrated dose of fermentable sugars into your GI tract, which launches an eating party and reproductive orgy for your gut microbiome!  This can certainly feed bacterial overgrowth and hence inflammation we experience as pouchitis. 

Gut bacteria, however, do not thrive on common artificial sweeteners, and I find them quite benign in coffee or tea. However, as much as I love diet ginger ale, I limit myself to a max of about 12 oz/day.  I just don’t have the storage space for all that CO2 released into my gut and find the bloating uncomfortable, especially when trying to sleep. Same with beer; no more than one, if I have any at all.  Too much gas. If I want to booze it up some, a couple of Martinis sit well with me, though. 

Thank you all so very much for your responses.  How ironic--here I thought all that fruit would be doing me good, and it was, more than likely, the culprit.  Pretty dumb, huh?  I will definitely limit my sugar intake with the juicing, etc.  Does anyone think celery juice would be a problem?  

In celery, the vast bulk of the carbs are cellulose, which humans do not digest. So you won’t be getting sugar fermentation problems.  But most of the plant is “raw fiber” (cellulose), and I’d take slow in rapidly adding bulky fiber to my diet.  Maybe start with ½ of a stalk after a meal, and work up from there as tolerated.  A good rule of thumb for pouchers never to make radical changes; start gently to avoid throwing whatever balance you may have achieved out the window. 

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