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Hi Ya'll

I have had chronic pouchitis for 17 years (since I was 13 years old.) Flagyl does not work for me and I am nervous that I may be gaining a tolerance to Cipro. I also have crohn's disease, but it is being managed by Humira.
Immodium and lomotil do not work anymore. I have been taking Norco at night and it helps me sleep (almost) the whole night. But, being a liver transplant patient, I could do without the tylenol in it.

What pain medications is everyone? I am thinking about going to a pain management doctor.

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Have you been on cipro all this time? I am not sure about pain meds (tramadol I use at times), but you can try rotating antibiotics to see if that may also help. Was your crohn's diagnosed after your surgery? Did the humira ever help with the pouchitis for you?


Some of us take pentasa or a sulfa compound drug or rectal suppositories/enemas to also help with pouchitis.
J
I am on Humira for Crohn's Disease, it was discovered 22 years after I was diagnosed with UC and 12 years after my proctocolectomy. (I am almost positive it was Crohn's all along.) I used to be on flagyl and then switched to Cipro. I have tried going back to flagyl in the past few years but it does nothing. I am allergic to sulfa drugs. Rectal suppositories/enemas hurt more than help. Tramadol I take if I am working (I work 12 hr shifts as a nurse.) I take Norco at night to help with pain and to slow the motility down.
I found out about Paragoric about a yr ago. But, there were hardly any compounding pharmacies that would do it, and insurance doesn't cover it, and it's quite expensive.
I am going to talk to my GI next week and see what he recommends. Maybe adding a new antibiotic to the mix will help. Oxycodone is a possibility...especially if it has less or any tylenol in it. I am thinking I should be going to a pain doc for this.
NeonateRN
Yeah, I think a pain management clinic is the way to go. But, it is a hassle because of the contract, frequent visits, etc. But, at least it becomes a routine thing. Oxycodone does not have any Tylenol in it. Have you looked into codeine, or is it too weak for you?

By the way, I am very impressed that you have continued to work with all those surgeries and complex diagnoses. Quite a resume!

Jan Smiler
Jan Dollar
Jan- It hasn't been easy, but without my income, we would be living at one of our parents' houses. And I refuse to go on disability, at least not right now. We want to adopt a baby in the next year or two. And I do love what I do.
Unfortunately, my "resume" isn't the type you wanna bring up to potential employers lol.
I will see what my GI thinks about my pain and diarrhea due to pouchitis. He knows I do not want a permanent ileostomy anytime soon. I am only 30, so body image is important to me. I am not sure if I have had just codeine, by itself. Oxycodone sounds promising. I don't want anything too harsh because if I get a bowel obstruction or have surgery in the future, I don't to be immune to dilaudid.
Not sure if you remember me...I haven't been on here in years. My name is Amber. I had to create a new account.
NeonateRN

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