It’s often worth trying Cipro or Flagyl when pouchitis is a possibility, because it offers such a simple solution. OTOH I don’t think pouchitis ever causes heartburn. J-pouchers are subject to the same common GI problems as coloned people, and my guess is that you either picked up a GI infection or just the consequences of overindulgence with a sensitive gut. Lots of people have experienced those things. Maybe try a drink at home rather than waiting until you’re in Jamaica for the next test? I’d also recommend moderation when you’re there, but that’s a very personal choice.

Thanks for the response Scott,    That is a big problem for me.. moderation...  haha....   

I never get heartburn...  this was like the pouch was sleeping... like nothing moved and i felt nothing that low  ...  i couldn't put much in and everything just backed up into the throat...  I was very concerned about a pouch twist or technical issue with the pouch..  tried the cipro first hoping it was pouchitis or sibo...   Dr Shen wanted those additional tests i think because of the backing up that i felt... it was very very weird...  Things are moving again fine but I am afraid of alcohol because it does seem to mess with my jpouch...  

You might have had a partial obstruction. That rarely has anything to do with the pouch, and generally is caused by adhesions that narrow the small bowel somewhere along its length. Adhesions are difficult to diagnose, though.

Heartburn for me usually like an acid reflux. There's this sour liquid that seems to be present in the food pipe. I get them if I eat too much sugar foods or something fried. I am not a big drinker so cant comment on that. In past I used to take any antacid like pentacid once a day to hold back acid built up. You can ask your GI about them. Also I'd recommend not drinking on an empty stomach. I've done that and paid for it.