Hi everyone,
I have had my jpouch for about 2 and half years. Recently, I started experiencing pain on the right side of my ribs. I went to urgent care and said I have inflammation on ribs. They prescribed an NSAID for 3 days and then take as needed but I'm afraid that it will cause pouchitis or cuffitis. So two questions has anyone experienced right ribs pain with inflammation and has anyone been prescribed NSAIDs or taken them and been ok.
Thanks!
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Rib inflammation without an injury is a strange "diagnosis," worth getting clarified by your regular doctor if it doesn't clear up on its own. In any case, a few days of NSAIDs won't hurt most J-pouchers. The longer courses and higher doses are the more common sources of trouble.
Using it temporarily is usually just fine. I just had foot surgery this past week and had to take a prescription strength NSAID for 5 days. All is okay with me.
I agree with Scott to follow up with your regular doctor. Kind of strange to have inflammation unless you injured yourself somehow.
Sounds like costochondritis or some other rib pain syndrome, and yes, NSAIDs are the common treatment. As Scott says, a few days should be fine.
FYI, I have experienced rib inflammation as part of my enteropathic arthritis. It is about inflammation of tendon/ligament to bone attachments. But, this is not the common scenario.
Jan 
Hello, just wondering if you may have been taking any flouroquinolones like Cipro in the days, weeks or months before this onset? These drugs are toxic to chondrocytes (cartilage cells) (see ref below) as well as tendons and other connective tissue (and nerves) and can lead to all sorts of strange long term painful symptoms and syndromes in those affected. I recently read an account of someone needing a procedure on their rib cartilage following Cipro use for a simple UTI but they had tendon and muscle pains in several locations as well. If you can temporally link Cipro or a similar drug to the onset of this pain, there is controversy of treating with NSAIDS or Steroid which are contraindicated concomitantly with FQs and known to increase risk of tendonopathies and more extreme MSK side effects. Later on some report improving and other report worsening of symptoms with NSAIDS.
