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Almost a year after the take-down surgery, I've been diagnosed with active chronic pouchitis and irritable pouch syndrome. (It's nice to have a diagnose from my new GI after the previous one said everything was fine and simply taking time to adjust!)

Where can I find information particularly about IPS? Is the treatment simply the same as for IBS?

I understand that anti-depressant / anti-anxiety drugs (SSRI's) are typically prescribed for IPS. I was prescribed Cipralex but felt dizzy and nauseous the first dose. I don't feel depressed but do admit to feeling anxious a lot. How are these anti-dep/anx drugs supposed to help? Does the disease lower serotonin levels therefore they need to be increased?

thanks!
Original Post
Yes, same Rx as IBS. The antidepressants are not for depression, as typically, subclinical doses are used. The idea is that they alter your "gut awareness" so that you do not sense every twinge that goes on. My understanding is that the tricyclic antidepressants (like Elavil) are used for IPS/IBS, not SSRIs. Could be wrong though.

Also,antispasmodics are used to reduced the cramping pain.

Jan Smiler

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