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Hi guys I'm new here.
I'm mike I had uc and had my j pouch in 2009.
Everything has been perfect until lately.
For 2-3 weeks I have been going more often 15-20 times and its been a lot more urgent.
When I go its like i am constipated. Sometimes blood and always my bum hole hurts a lot.
Any help? Thanks
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It sounds like it. I have never experienced the blood symptom, but it definitely can be a symptom. I would suggest giving your GI a call. They will likely prescribe you and antibiotic over the phone, but if your symptoms don't resolve, they will probably want you to come in for a scope to see what's going on.

If you haven't taken antibiotics before for pouchitis, with the holiday weekend here and graduation parties, just know that Flagyl and alcohol are a dangerous combination. If you know that you will be drinking, even though it's still not a good idea, Cipro would be a better choice with one or two drinks.
In my experience, bleeding is nearly always a sign of cuffitis. But, in a few cases it occurs with pouchitis (particularly C. difficile pouchitis). The treatment for cuffitis is mesalamine or hydrocortisone suppositories.

Also, you can have both pouchitis AND cuffitis. I know this, because I had them together before. I know they always warn you against alcohol and Flagyl (because it is chemically similar to Antabuse), but there are very few documented instances of the reaction in real life. Some people here have reported reactions. But, it is not dangerous. However, if you do react, it is a ptretty violent vomiting reaction, so not pleasant. It won't kill you, but you might wish it did!

As for myself, I am able to drink wine and liquor while taking Flagyl with no problems whatsoever! If you do have Flagyl prescribed, and do decide to experiment, be sure to do it at home, just in case.

Bottom line, time to call your doctor.

Jan Smiler

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