Osama, has your gastroenterologist offered any ideas or tests? Do you have abdominal pain during these episodes? Are they reliably showing up every three months, or is it more like "about 4 times per year?" How long do the episodes last? Have you ever tried Cipro or Flagyl for them? Have you been tested for C diff, or other persistent parasites like Giardia or amoebas?

This is a bit frequent for a basic GI infection, like norovirus, but if you are routinely eating food from a contaminated environment you could get reinfected frequently. Is your favorite restaurant a little too casual about cleanliness?

i take Cipro and Flagyl every  time i have the bout , its take usually 2 to 3 days to get out of it , but couple of time it took one week and two weeks , the blood test at hospital when i have the bout shows that i have inflammation , but after one day the blood test is normal. i tried all kind of diet , i don't eat meat , i try to eat cooked food when i can. 

Sounds like recurrent pouchitis to me. The longer you have your pouch, the more likely you are to have pouchitis. My chronic pouchitis started out as recurrent bouts, and over time became more chronic. Now, I never travel without bringing antibiotics with me, particularly if out of the country.

Jan

Mady,

I have a different idea and possibly off-the-wall but worth checking into...Your hormones. 

Not all periods are created equally and your hormones do not just fluctuate monthly but seasonally too. And they have a very strong influence on your pouch.

The every 3 months leads me to believe that this could be the case. Does the problem occur during either ovulation or your periods? Is there a correlation? 

Are you suffering from lower back pain at the same time? 

I would get 3-4 bad periods/yr (nothing like what you describe but bad enough)...didn't link it to anything specific because in my case (also self-employed) I just powered through it. I was told that our hormones have seasons. High and low, strong and weak...so maybe in your case there is a connection...some hints that I was in a bad one were massive headaches (I am not prone to them), dizzy spells, cystitis, feeling like I was hit with a baseball bat in the kidneys, my pouch running like water, horrible pouchitis-like cramping etc...it might be worth consulting your GYN about this...you never know.

Sharon