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do ALL pouchers do better with antibiotics?

fqfqMember
hello i just started taking cipro + flagyl together for a suspected fistula.

Anyone know if the antibiotics fixes an RV fistula?

after just the first dose, I felt a lot better. the gurgling, gas, urgency stopped! after 1 dose?! i thought these symptoms were all normal pouch adaptation????? so did the antibiotics improve pouch function because technically it would improve ALL J-pouchers function to some extent?

after second dose I took and my pouch is so quiet and behaving. i guess maybe i had some pouchitis? or like I said, maybe antibiotics quiet down ALL pouches, even the most well behaved ones?

i am concerned because i just got my pouch 2 months ago. And if this is pouchitis already, does that mean I have a good chance of being chronic pouchitis? Why do some people get pouchitis so quickly?

Anyone have pouchitis soon after takedown and then not again?

sorry, lots of questions, i'm still learning. thanks.

j-pouch : 2 months
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clz81clz81Member
I'm sure there are many exceptions, but i too have always thought this to be true for the majority. Its the bacteria in our pouches that causes the gas and whatnot so getting rid of it should quiet everything down. However, if someone doesn't truly need it, I would not advise taking it. Once you take it, your intestinal flora is changed, and sometimes a challenge to get back to where it should be.
Epic ScotsmanEpic ScotsmanMember
The small intestine isn't designed to carry the same kind of bacterial load as the colon. Since the pouch is formed from small intestinal tissue, the increase in gut bacteria could cause a few problems here and there while the pouch is adapting.

However, in the long run it'd probably be better to allow the pouch to adjust to the new bacterial presence, rather than take antibiotics long term (unless they are truly needed, of course).

So, in a way, all pouches probably do function a bit better with antibiotics while they're going through the adaptation process simply because the tissue isn't designed for that bacterial load. As the tissue adapts, the functionality should improve.

SCIENCE!

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