First bout with pouchitis

Usually most antibiotics will improve pouchitis symptoms considerably within 48 hours. Although xifaxin and flagyl are effective in my case, you may need to try another antibiotic(s) like cipro or augmentin (there are others as well). Good luck.

i think ik have pouchitis after reading here for a day or two. lower belly ache, BM's have gone up (doulbed) especally at night/evening. no signs of any blood (i am not sure here...).
my biggest question is, as this is only the second time i think it is going on (first time maybe 2 months after surgery in march '99). i cannot remember the antibiotic the surgeon gave me than but it left a real mettalic taste in my mouth. the surgeon is 80 miles away from me (the closets real big town). my local Dr. here is well aware of my history, but i dont know how much experience, if any, he has with pouchitis. can someone give me a idea of a good antibiotic, and a rough idea of a dosage for a 150 lb man? all i am looking for is something to reasuure me that he is correct when he prescribes something for me. i dont want him to give me a normal type antibiotic, or a dose way of the mark. again, not looking for anything accurate, just maybe a guess. trying to educate myself some more by doing as much reading as i can in the mean time.
thanks very much for all the help you all have been already. i am thankful i have not had as many problems as some on here.
to all who have recently had surgery, it gets way better as time goes on. i really hated my decision to have surgery for about the first 6 or 9 months after, but as my pouch matured, it started getting better and better.
forgot to add - mu surgery was for FAP and was non-symptomatic before surgery was done.
Aaron

Cipro or Flagyl or a combo of both are usually the first antibiotics docs will prescribe. The metalic taste you had was likely from Flagyl. Personally, it's not my antibiotic of choice. There tend to be more side effects, you have to take 3 times a day, and it doesn't work as well with my pouch. I would recommend Cipro 500mg x 2 times daily for 10 days. Augmentin is another great one, but I only started that since I have chronic pouchitis. It's 875-125mg twice daily (it's a combo drug).

thamk you!
since i have beem so lucky with relatively few problems, i learn as i go...
Aaron

Just reading this thread for my own problems this past week. I'm still not sure if I have pouchitis or something else. Saw my surgeon today but don't get scoped until Monday. My surgery was Apr. '94 and take down 6 months later. My only issues through 18 years were obstructions at the anastomosis site, which I had fixed in 2009. Other than that just dehydration when I get the flu or something. I feel really fortunate to have had so few problems.

I hope things work out for you.