Looking for help here as not feeling trust of current GI. After a recent pouchoscopy including multiple biopsies, results showed no dysplasia but mild inflammation. Upon request to her for antibiotic, she is suggesting Vancomycin. I’ve heard more about use of Cipro and Flatyl for pouchitis and seems like vancomycin seems heavy duty? This is maybe my 2nd bout of pouchitis in 12 years so despite my many issues, including more than 15 BMs per day, my pouch has never shown to be inflamed during pouchoscopies.
*What antibiotics are typically prescribed for non recurrent mild pouchitis?
I have other complications, have had issues for years with leakage and frequency. I have a Medtronic Interstim device which may help me with continence. I’ve had difficulty for years emptying pouch so I strain a lot though I try not to. I have suspected a prolapse of pouch for 2 years though it did not show up last week on a Dynamic Proctogram. I’ve been struggling with incredibly painful ulcerations around and in anus for weeks, which worsens every BM. Thinking possibly a fissure, worse after my pouchoscopy. With no availability of ilex paste, I’ve tried at least 15 products to protect and heal with minimal progress. Riley’s butt paste from compounding pharmacy is one of few that doesn’t burn, but it doesn’t adhere so does not help much either.
*Isn’t there some type of ointments that can be used inside and around anus?
Thinking my frequency and acidity of output is the problem so hoping a good antibiotic and possibly a cream or ointment could stop my pain. Any advice hugely appreciated! I am looking to find more responsive gastro team also, possibly Cleveland clinic or maybe back to chicago. Any recommendations greatly appreciated!
thank you!
ljz