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Dear All. I had Ileorectal anastomy in 1993 and then ileo anal anastomy with J pouch in 2003. On and off recurrance of pouchitis and antibiotics. During the last scopy the GI notice severe inflammation/ulcers in terminal ileum upto 10-15cm up in small intestine. He inform it was very uncommon and started oral mesalamine and mesacol suppositories. He has stop antibiotics. The condition is 10+ motion plus urgency, no pain no blood. Did any one have experience any inflammation/ulcers in small intestine. What is the treatment? I have lose weight and there is no sign of improvement.
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Did your doctor mention anything about the possibility of Crohn's disease? It sounds suspicious, especially since he told you to stop the antibiotics and start oral mesalamine. However, since you still have your rectum, perhaps it's not uncommon for patients in your situation to use oral mesalamine.

If your current treatment regimen doesn't work, perhaps you need a course of steroids.

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