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I had my J-Pouch since 2010 and since that time I've had a few issues with cuffitis that have all subsided after a week or so of Ceftin. However, about four weeks ago while dealing with the flu, I started getting much more urgency with smelly stool. The virus subsided but this past week, the following symptoms appeared:

- smelly stool that tends to float (no blood)

- increased urgency (up to 15 times per day versus 4 or 5)

- joint aches and my core temp seems lower but no fever

- major fatigue

- cramps 

Today I took my first dose of Levaquin (500 mg) once per day. I really hope this helps because I can't fulfill my job as a teacher if I have to leave the room 5 times a day to use the restroom. 

1. Does this sound like classic pouchitis or more like CD? 

2. Does Levaquin sound like the right way to go and does it work fast? 

If it’s ordinary pouchitis (and it might be), then Levaquin may help within a day or two. If it’s C. diff, though, Levaquin is a very poor choice. Is that what you meant by “CD?” “CD” most often means “Crohn’s Disease” in this forum. Has your stool been tested for C. diff?

The strong smell is sometimes a sign of C. diff. The joint pains aren’t very helpful, I think, in figuring this out. And lots of us have unsettled GI tracts for some weeks after a viral infection.

Scott F

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