After 12 years with a J-pouch, I had my first bout of pouchitis. Went on Cipro and Flagyl and it cleared up.  Now, I am trying to adjust to a new normal with adding a daily probiotic.  I used to need grape juice to completely eliminate my pouch at the end of the day but find that post pouchitis and now with a daily probiotic, juice isn't needed.  Do others find that the daily probiotic helps with elimination? My transit time is back to my pre-pouchitis condition but the stool consistency is softer and less caustic. Do others experience these realities with probiotics?

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I've always been on probiotics (conscious choice, since my op).  The first 12 weeks were full dose, then then it's down to a 50% maintenance dose.   If I had a bad day diet wise i will perhaps take full dose for a couple of days, I can tell the difference between a full dose and a half dose, let's just say half dose suits me more, full dose certainly helps with ease of elimination.

 

once established you can probably play with the dosage a little bit.  Reducing it will of course save money, but may also suit you more.. then you up it at first sign of issues or preemptively if you having a night on the beer or eaten a lot of sugar etc

 

I'm relatively new to jpouch (2 years) but that's the approach I'm trying.

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