I have a K-pouch and get some mild to moderate pouchitis every 2 or 3 years. So, far it has cleared up with a round of Flagyl. My symptoms are fast, watery output that lasts for more than a couple of days. I have no pain or bleeding.

It's tough to say whether you have pouchitis. You could be scoped. They can usually tell by looking at the walls of the pouch which could just appear to be a bit red. Or, may bleed if poked a bit. Ask Sue Kay. She'll give you some good advice. Do you have a gastro doc near you who could scope you if necessary?

The frequent urge to empty was my main symptom of pouchitis. I don't remember having diarrhea. Not sure about gas. But lots of pouch activity, and eventually cramping. Flagyl always worked, but I just hate that stuff - makes me nauseous - but it works.

Pouchitis is kind of a grab-bag of symptoms from frequency to liquidy bowels to urgency with nothing coming out (or very little) to cramps on through...
Most of us get relief within days through flagyl or other antibiotics.
But not all of the symptoms mean pouchitis. It could be something that you ate (or that ate you!) like a bad meal (seafood, meat or chicken that was badly cooked or not fresh enough), a food alergy or just a bug or indigestion.
If it lasts past 5 days then I would look into it with your doc but if it is 2-4 days I would wait it out.
Stick to lots of fluids to replenish yourself, soups, tea and juice and avoid all milk products, irritants (hot sauce, pepper, acidy things) and meats. Give your body a couple of days to clear out and heal itself before worrying too much.
Sharon

Rectal bleeding is also a symptom. It is the only symptom I have. It sucks...

Could be SIBO and not pouchitis. Might be your diet as well. I can't tolerate much white bread and def yogurt does that to me.

heyim new here from bahamas had my colostomy all my life im really looking to meet someone to talk to and friendship ! thinking about moving states for a better life and better supplies ! not a full member soo ill check the post everyday Smile

It could be your diet. Try giving up dairy and reducing if not eliminating gluten and see if there is a positive effect for you.
This worked for me.

Thanks for the information .. I had my
Koch pouch done in May 1994 and gave had no
Problems just the occasional blockage and
Foamy stools ..reading these posts has helped
Me understand it better thanks ..I am an open
Book feel free to contact me if you have any
Questions