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I have been a vegetarian for years but switched to dairy products as my doctor said I was low on B12, ect. I do not think I can tolerate milk and since have stopped eating dairy after I got the below pouchitis. The night before I got  pochitis, I ate Dave's 21 whole grains bread with sesame seeds.

I got pouchitus at the beginning of this month. I received a prescription for Cypro and Mentranidazole for 1 week, I got better (back to normal). I got Pouchitus again a couple of days later and am in the middle of a two week course of Crypto and Mentranidazole. Usually these medications take care of it right away. It has gotten a little bit better but I but I am still sick. I have uncomfortable/somewhat painful very urgent bowels that I cannot control and am having accidents. I am in the bathroom all the time. There is little to evacuate and I have cramping in the lower abdomen. There is some bright red blood on the tissue after I go to the bathroom. This has been going on for three weeks. I have never had anything like this.

I see my new Gastro's PA tomorrow morning. I have never had Cuffitus. Could this be Cuffitus and how do I treat it?

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The blood on the tissue is more likely to be from an irritated bottom than cuffitis, I think, after weeks of frequency and (perhaps) straining. It’s possible that you have an infection, maybe C. diff, though it is hard to reliably test for with antibiotics in the system. It’s also possible that it’s simply pouchitis and the Cipro+Flagyl just isn’t working any longer, but that usually happens after longer, more frequent antibiotic use.


I have cuffititis that I treat with daily canasa suppositories.

Scott is correct about the blood. If it is bright red, probably either a hemorrhoid or irritation. When I get aggressive with my butt hole, I get red blood. 😩

cuffitis symptoms include urgency, spasms, and rust/reddish colored stool on the toilet paper or wipe ( in my experience).

You can get a false negative result for C. diff when on (or recently on) antibiotics, but I wouldn’t assume one way or the other. It’s most commonly treated with vancomycin, but can sometimes be very hard to get rid of. Very persistent cases are treated with fecal transplant.

Other antibiotics for pouchitis include rifaximin (Xifaxan), Tindamax, Augmentin, and a few others. If antibiotics don’t do the trick then biologic medications like Remicade, Humira, and Entyvio can be used.

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