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Hey all,

I'm over seven months out from takedown and have never had an acceptable quality of life since. I'm dealing with 15 BM's daily, incontinence, and pouch pains. Pouchoscopy indicated pouchitis, albeit the GI said that "it looks mild."

 

I have failed antibiotic therapy (three different abx). My GI says that I can try antibiotic rectal suppositories and rectal steroids but there is a low chance of success. He says the next step would be systemic immunosuppressants (AZA, biologics, pred, etc.).

 

I had surgery because I was told that my quality of life would be excellent and that I would not have to take any of the harsh drugs I had experienced before. I am refusing the immunosuppressive IBD drugs thus far and do not know what to do. The present situation makes the promises about the jpouch seem like a joke.

 

My loop ileo gave me an excellent quality of life. I think about asking my surgeon for pouch removal, which he has said is an option. Obviously pouch removal is an ordeal I want to avoid and the potential complications are concerning; that said, sometimes it seems like the only reasonable way to get my life back. I wish that there were a way to get the results I was promised for the pouch without these harsh drugs. I have tried VSL, paleo dieting, and a few other natural approaches. For now I am just dealing with the pain because its easier than considering any of these terrible options.

 

I know there are no magic solutions, but I wanted to share my situation with people who understand, if nothing else.

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I had surgery diverting from my j-pouch to a permanent ileostomy while leaving my j-pouch intact on 8/31/15. I had a pouchoscopy a few weeks ago and no pouchitis or cuffitis. I  was not given any medication for the scope so my husband and I saw the full scope. I had both of them chronically, had recurring strictures plus pelvic floor dysfunction.  I  let things go too long and should have done this sooner. That said, I am surprised your doctor is willing to remove your j-pouch before you've used it for a year.

 

I agree with you about not taking drugs you wouldn't with your diseased colon.  That said there are many here that are doing very well on some of them. I just have too many health problems and am happy with my new ileostomy.  

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