no energy, lost weight

If your *only* symptoms are weight loss and fatigue then pouchitis wouldn't be my first guess, even though pouchitis symptoms can include those. It's important to get to the bottom of this. What tests have you had that came back negative?

Blood test, upper gi with contrast.

I'd ask the doctor what the next step is. There are always more tests, and sometimes they're even helpful.

Could opiates been an issue, i fractured my
hip in 95, now i am felling the pain, to young to have reolacement surgery, i see another gi this month

Not sure what you mean by "too young to have replacement surgery," as hip replacement has nothing to do with age, but what shape the joint is in. Arthritis often is accelerated after a fracture. If you are taking opiates chronically for your pain, I doubt they would be contributing to fatigue and weight loss. There could be an initial period of fatigue, but the body adapts and you don't notice it too much. That is, of course, unless you are keeping yourself pretty blotto with the drugs.

Weight loss and fatigue are vague symptoms that could be from anything, depression to cancer, so I agree, more testing is in order. These sorts of things are seldom sorted out with the first wave of tests, as those only look at the most common causes.

Jan

Orthopedic replacements usually last 10 years, so i would have a couple replacements, just asking if anyone else had issue with opiate verse the pouch

Opiates usually are good with the pouch, slows things down, and since most of us have loose stools, that is a good thing.

But, the bad thing is that long term opiates for pain tend to be a slippery slope because you build a tolerance to the analgesic effect, requiring higher and higher doses for the same relief. Have you tried TENS for some relief?

Jan

Not if i know what TENS is

Oh sorry. I guess you haven't tried it then, or you'd know what it is. It stands for Transcutaneal Electrical Nerve Stimulation. You wear little electrode patches where the pain is, and a pocket-sized electrical pulse generator sends a small current to the nerves that are perceiving the pain. It basically blocks some of the pain signal from reaching the brain. Anyway, it is a non-drug form of pain control and can help reduce the amount of opiates needed. It is useful when the pain area is localized to one spot, as opposed to generalized arthritis or fibromyalgia.

http://www.tensunits.com/INFO.html

Jan

Oh, ok my friend at work has it for his back, didnt know what it was called