Biopsies are completely normal and in no way indicate a suspicion of cancer (cancer in J-pouches is rare). The rest of it is consistent with your discomfort and watery stool, and might enable him to suggest some treatments that might help you feel better. That’s the opposite of discouraging, or at least it would be for me.

Thank you for the response.  Is erosion along the surgical attachment site normal?  That is probably what scared me the most.  He was in and out and I was doped up and hardly had time to ask anything.

Erosion isn’t normal, but it also isn’t the end of the world. It might be a mild cuffitis, and it might be easy to treat. I’m guessing the follow-up plan is to have a phone call or appointment when the biopsies come back, so you can work out next steps when all the information is available.

Is it normal that they would request bloodwork after the pouchoscopy.  I just had a nurse call me and say there was inflammation and blood work is needed.  I have felt the same way for 9 years since I had the surgery.  I do not want to get on medication again because it made me sicker with UC.  Any thoughts?

Also,  do you know if erosion continues to get worst?  I am concerned because he said it’s near the surgical site/attachment.  

So this was a routine pouchoscopy, with no symptoms causing you to get it?

The bloodwork is probably to help figure out what’s causing the erosion and proctitis. Whether the erosion is likely to get worse depends on what’s causing it.

All of us prefer to stay off of medication. It’s also reasonable to be wary of any specific medication that made you sick or failed to work in the past. It’s also sensible to be cautious about taking medication if you have no symptoms. It’s best, though, to think through any proposed treatment logically, and get any questions or concerns addressed, rather than assume that all medications will be just like one particular (and unhelpful) UC medication was.