advice pouchitis

Are you taking probiotics? Sometimes there is an "adjustment period" when you take antibiotics, because they essentially kill everything in the gut, even the good stuff. It can take a few days to a few weeks for the gut to normalize after taking antibiotics. It's actually one of the reasons I hate taking them, because they do screw up my system for a few weeks. Basically, though, I wouldn't jump right back on the cipro just yet. I'd actually try starting probiotics to see if you can get some good flora going; hopefully that helps. However, if the pouchitis-like symptoms persist, worsen, or clear up then return, you may need to speak to your GI and try a course of cipro and flagyl next time.

I too just came off antibiotics and also Endocort. I had such bad Big D for 4 days. It was literally coming out of me. I had also ran out of antibiotics and was waiting for my online pharmacy to deliver. So, I literally loaded myself up with every probiotic I had in the house and doubled and tripled the dose, plus I added kefir. In a day I was in good shape and been getting better every day. My surgeon told me today to rotate probiotics every 3 weeks.