I have been having pain and urgency when I have a a BM the last few months. Each time I call my doc and he says it could be pouchitis or stricture. I have gone in a few times to see him and he say there is no structure and that I should just wait untill July when my 1st yearly scope is scheduled. He has put me on Cipro and Flagyl a few times and I feel great on those! A few days off of them and I am in pain and cannot empty completely. The pain also feels like swelling and irritation in the cuff not higher up in the pouch. I tried doing a gloved finger exam myself to see if it felt bumpy but I could not even begin to get a finger in due to pain and swollen area. I can't completely empty either and it feels like I need to go every 5 seconds. And I am getting sharp spasm like pain on the left side of anus. I mentioned maybe cuffitis to my surgeon and he just blew me off and said if that was it the antibiotics would not have made me feel better. I thought maybe fissure too. Occasionally there is a small bright red spot of blood on the toilet paper. Well that's a run down of symptoms any suggestions? I'm going to call and demand a scope in the next week or two. Oh and i also have a general sense of pelvic discomfort and lower back pain. My reversal was last July and up untill a few months ago I have felt great. I also feel tired all the time. If I'm laying down I feel ok.