Edit: Ciprofloxacin is Cypro.

The blood on the tissue is more likely to be from an irritated bottom than cuffitis, I think, after weeks of frequency and (perhaps) straining. It’s possible that you have an infection, maybe C. diff, though it is hard to reliably test for with antibiotics in the system. It’s also possible that it’s simply pouchitis and the Cipro+Flagyl just isn’t working any longer, but that usually happens after longer, more frequent antibiotic use.

Hi,

I have cuffititis that I treat with daily canasa suppositories.

Scott is correct about the blood. If it is bright red, probably either a hemorrhoid or irritation. When I get aggressive with my butt hole, I get red blood. 😩

cuffitis symptoms include urgency, spasms, and rust/reddish colored stool on the toilet paper or wipe ( in my experience).

Hi

I think your doctor gave you a wrong plan.

you can take B12 injection rather than eating un-vegetarian food

if your pouch healthy with vegetarian food back on it.

thanks.

Scott,

What would be the treatment for C. Diff.? If it does not show up on a test because of the antibiotics, do I have it? What would be the antibiotic to use for Pouchitis if Cipro + Flagyl does not work?

You can get a false negative result for C. diff when on (or recently on) antibiotics, but I wouldn’t assume one way or the other. It’s most commonly treated with vancomycin, but can sometimes be very hard to get rid of. Very persistent cases are treated with fecal transplant.

Other antibiotics for pouchitis include rifaximin (Xifaxan), Tindamax, Augmentin, and a few others. If antibiotics don’t do the trick then biologic medications like Remicade, Humira, and Entyvio can be used.

Thank you.