By flare-ups, do you mean pouchitis? Pouchitis is not “normal,” but it is common. When you have it every 3-4 months, that is a form of chronic pouchitis. It is called chronic recurring. If your bouts respond quickly to a course of antibiotics, it is fine to simply treat as needed.

Jan

It usualy starts with major diarra.then he gets dehydrated.and then constipated.usually last 3-5 days.then He is really drained for energy.its my husband who has it.Then the storm is over for him.cant find anything on diets for someone with a pouch.

Diet is quiet relative to each individual. For me personally trigger food is usually sugar, fruit, oily food, caffeine, wine, canned tomato, too much fibre and most preservatives.

These foods have been good fresh eggs, fish, chicken, avocado, lettuce, cucumber, carrots, pumpkin, white rice. 

Keep things really simple, try stay away from sauces and spices until you can identify which ones can cause issues. For drinks stick to filtered water and herbal tea. 

This does not sound like pouchitis, which would not resolve on its own in a few days. This seems more diet related or like IPS (irritable pouch syndrome). A good idea is for him to keep a food diary to see if there are any consistent triggers for these episodes. If not, you can assume it is IPS, which is treated the same as IBS. Probiotics may help. Antispasmodics and low dose tricyclic antidepressants can also be prescribed for IPS.

Jan