Most abnormal test results require clinical correlation to determine the true signifigance. If you are feeling well and your scope is good, I would not worry about it.

Jan

The problem is I keep getting intermittent abdo pain/bloating/nausea etc. Hence the scope for ? pouchitis. But as it was a negative he thinks it may be IBS which ive never had since the J pouch. I'm not sure were to go from here.

Sure, IBS (or more accurately, IPS) is a possibility, even if it has not been an issue before, but I would not expect it to increase fecal calprotectin. How about SIBO (small intestine bacterial overgrowth)? That causes pouchitis symptoms without the inflammation. Treatment is the same, antibiotics.

Jan

How does SIBO get diagnosed. I've never heard of it. And is that something that would be treated with flagyl? 

I do not think calprotectin has been as closely followed in J pouch patients as with those with a colon, so it's hard to truly know what the number correlates within our population (last I'd read; it can be a guide, like Jan said, with other symptoms... not sure the significance faced with good other results).

van, also look over the FODMAP diet. It helped me to do the elimination then the reintroduction of the different sugar groups, to find bloating triggers. Goes along with managing SIBO, which is small bowel overgrowth of bacteria; sugars can feed the bacteria and cause symptoms. Antibiotics can get it under control, but knowing triggers can help you avoid food that causes worsening symptoms. 

I do believe there is a breath test perhaps for SIBO (I don't know much about it), but often it's dx just by symptoms when pouchitis is ruled out. 

Yes, Flagyl or Cipro can be prescribed for SIBO.

Jan

if you had elevated CRP or sed rate blood tests along with elevated cal protection that could be sign of disease activity.  

Hi everyone. Thanks for the feedback. I.ll definately ask the GI about SIBO At my next appointment