Is it standard to treat a (not so certain) case of pouchitis with two weeks of both Ciprofloxacin and Metronidazole? It seems like over kill. I thought Cipro alone was the go-to for a one time bout. I'm not even convinced this is pouchitis although there is increased frequency, increased gas and some nightly incontinence which I've never had before.
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Some docs seem to go directly to two antibiotics. They probably do get better rates of clearing it up in one go, but 1) there will be more medication side effects, and 2) if there are unacceptable side effects you may not be able to easily tell which medication is causing them.
FWIW, your symptoms sure sound like pouchitis to me.
Thanks Scott. He did tell me that side effects, if there are any, it would likely be from the metronidazole and if I found it intolerable I should stop that one.
As an aside, I find it interesting that I had these same symptoms this time last year. This is also the time of year when UC would flare for me if it was going to.
Another question about Ciprofloxacin and Metronidazole...do they slow down the bowel? After just one day (two pills twice a day) I'm having infrequent movements and the stool is quite firm. I'm hoping this is normal
Are biologics being prescribed for pouchitis these days? what about if there are ulcers in the pouch as well
@Ezzy posted:Are biologics being prescribed for pouchitis these days? what about if there are ulcers in the pouch as well
Biologics wouldn’t be used for an “ordinary” bout of acute pouchitis. 10-14 days of antibiotic treatment is usually used for that. Biologics are used for chronic pouchitis when antibiotics don’t work or when the provider judges (for one reason or another) that antibiotics have become problematic. Ulcers are just a symptom of uncontrolled pouchitis.
