Ibuprofen, alleve, and aspirin are notorious for causing pouchitis; however, my surgeon would tell me the occasional 400-600 mg of ibuprofen when really needed is ok. I don't know how bad your wrist feels but I'm sure plenty of people on here would assure you pouchitis is worse. I'm really sorry. 

I didn't know that IBprophene can cause pouchitis. I know that it is responsible for gastritis, bleeding in the stomach, other stomach irritations etc.

I have been taking IBprophene for quite a while, for serious joint and muscle pain but I have never had any problem with pouchitis due to its usage. 

I usually hear that short term use is fine but that it should not be taken over time.

Sharon

I was able to tolerate high dose ibuprofen for years to treat my various tedinopathies. That is, I tolerated it until I didn't. Eventully, I developed liver inflammation and pouchitis. I had to discontinue it, and the resulting flare of back pain led to a rheumatology consult and a prescription for biologics.

The good news is that damage caused by NSAIDs is reversible.

Jan

Thanks everyone for your comments. Most helful

Mary