There's usually no harm from a Flagyl course, but I think the first question is whether you've got your bowel slowers (Imodium or Lomotil) and thickeners (e.g. Metamucil) adjusted well. These are gentler if used thoughtfully, and avoid a "bacterial reboot" that you might not need.

Even if this is not pouchitis, bacterial overgrowth can cause the same symptoms. I notice that if my frequency picks up and I have a lot of intestinal gas, it is time for a week or so of Flagyl. That sets me right as rain. Since it is Flagyl, I think you are pretty safe, and there really is no downside, other than possible side effects, but they are short lived.

But, Scott and your doctor are right that this early out, it is difficult, if not impossible to sort out. That is why the easy stuff like bowel slowers and bulking agents (fiber supplements) are suggested. But, I never found bulking agents to reduce frequency, just thicken the stool. For me, it actually increased frequency, as it added to the overall volume.

Jan

For me the bulking agents enable me to ignore a sensation of fullness much longer. This enables me to choose a reduced frequency at my own discretion.

Flagly's risk is neuropathy but that is if you use it for awhile. Rotating it and using it for short periods reduces the risk. I used it for 2 months straight and now can't use it anymore due to this.

Vanessey, what strength were you taking of the flagal over the two mouth period I ask this as my surgeon has suggested I take low dosage long term not sure yet what he considers low have appointment in late January so will bring up a few thoughts I am going at least 20 times in 24 hour period so over it all am trying low carb as has been suggested on this site but early days