Re: Cuffitis Vs Pouchitis

Could someone please explain the difference in symptoms between cuffitis and pouchitis?

I’ve had a J-Pouch for 20 years and I have been very blessed with no significant issues until a month ago. Now when I eat, I almost immediately get a sharp pain in my rectum and strong urge for BM.

It could be a total coincidence but this started after I went for several hours “holding it” to the point of it being painful because I had no access to a restroom. I am trying to get an appt. with a gastroenterologist but just wondering if I might have cuffitis.

Anyone have a great doc in Alabama with experience dealing with patients post Jpouch?

3/5/225:19 PM

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Petey12Member

I'm so sorry no one has responded to this because I have the same question

8/19/237:13 PM

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New577Member

Pouchitis, cuffitis, SIBO.

All three share similar symptoms.

I have had cuffitis and SIBO, but not pouchitis. Symptoms I have had include frequency, spasms, blood, and a constant sense of need to go (tenesmus).

I am sure the pouchitits sufferers will respond, but a pouchoscopy with biopsies will reveal the real issues and provide a sound diagnosis for treatment.

pouchitus and SIBO are treated with antibiotics and cuffititis is usually treated with mesalamine either oral or suppositories.

All three are well documented on this site.

8/19/237:37 PM

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Scott FMember

Both pouchitis and cuffitis can cause pain and urgency. Cuffitis acts more like UC and is more prone to bleeding than pouchitis, though both can bleed. As New577 wrote above it’s best to get a proper diagnosis, and symptoms alone may not be enough to tell them apart.

8/19/2311:17 PM

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