Jpouch

You can have pouchitis without regular symptoms, since you have had pouchitis before it's definitely possible it's back. Going to see your GI is probably for the best.

I don't present with typical symptoms, I can still manage 6bms per day, I just can't sleep, sometimes my BMs do increase.

Sometimes the only symptom of chronic pouchitis is leakage. How are your symptoms when you are being treated for pouchitis (and the treatment is working)?

Hi Scott what I can remember from the other couple of times when taking Cipro I believe there wasn’t leakage or very little. I have started the Cipro again today out of desperation as I had a refill and  see what happens. I also have Flagyl not sure it I should take it in conjunction with the Cipro 

I think you may want to put a call in to your doctor. In the meantime:

Acute pouchitis is sometimes treated aggressively with both Cipro and Flagyl. Not all doctors do this, probably fewer than half, but in any case the goal is to wipe out the episode and be done with it in 10-14 days. Chronic pouchitis is treated a bit differently, and the goal is to find the minimum dose of medication necessary to control the condition (some try to control the symptoms, others try to quiet down all of the inflammation, too). You haven’t described the time line, but if Cipro alone makes you feel better then you’re probably better off without adding the Flagyl.

Thanks again I will check back on after my GI appt to give a update.

PouchLogic posted:

You can have pouchitis without regular symptoms, since you have had pouchitis before it's definitely possible it's back. Going to see your GI is probably for the best.

I don't present with typical symptoms, I can still manage 6bms per day, I just can't sleep, sometimes my BMs do increase.

Thank you!