It's hard to know exactly what you're experiencing, but I can share that when pouchitis is uncontrolled for me the symptoms include painful cramping. Have you ever tried pouchitis treatment, or been diagnosed with pouchitis?

I agree, if your pouch has not been scoped, it is time. If pouchitis and SIBO are ruled out, you'll have to look at the gallbladder or possible obstructions.

Jan

Thanks for reply. I did not include in my first post, to keep it short, that I get pouchitis off and on. Definitely have it now because of scope check and cat scan [although my G.I. says cat scan can't show it]. The problem with treating pouchitis with me is that both Flagyl and Cipro give me constipation. I have even tried half a cipro pill a day and it makes things worse. Of course I want less bowel movements but with the constipation, I get less out each time and that makes me go for a BM more than before.

George.

You might be able to prevent the constipation side effect if you're aggressive about anticipating it. Substantially increasing your water consumption might help, or some recommend white grape juice. Stopping any bowel slowers (Imodium or Lomotil) is important. Adding psyllium might even help, though it will also bulk up the stool. Also, there are a number of other pouchitis meds that might be easier for you to tolerate.

Thanks for that info. I am seeing my GP tomorrow morning and maybe he can give me something else for pouchitis. I am already drinking a lot of water and take the psylium stuff every day. 

I will start taking some pouchitis meds again and be aggressive with the constipation because the cramps have taken over my life.

Thanks again, George.