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J-Pouch ForumsPouchitis
Has anyone ever had pouchitis turn back into ulcerative colitis?
OscarThePouch Luckily nobody promised me this was the cure and they were very straightforward with me about what the risks are and the long term complications could be. I signed on to surgery because the risks sounded less bad than the severe case of UC that I had. I almost died from sepsis once from a flare up. The only regret I have is doing alternative medicine instead of proper medicine, which was tantamount to doing nothing for my illness which is how the sepsis arose. My UC dragged on for so much... [ more ]
AMB This chain has me thinking back. Many gastroenterologists used prednisone as first line and maintenance therapy for Crohn's and UC back when I was diagnosed, which was routine and routinely bad medicine for many years. The 5-ASAs were in clinical trials for UC, not super effective, and they came with probably under-reported liquid diarrhea - so what was the point? 6-MP wasn't commonly prescribed. It was so un-common that pharmacists would question me when I went to fill my script! So... [ more ]
Jan Dollar Back when I had my colectomy, Remicade was considered experimental (and not covered for treatment for UC). So, not an option at the time. I think the best solution is the one you can live with. Maybe the problem is that there is so much information to be had that it becomes a mine field. Hard not to imagine possible side effects as likely side effects. Some doctors are better than others at helping you sort through it all. But in the end, we are the ones that have to accept our choices. I... [ more ]
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J-Pouch ForumsPouchitis
C.Diff
vanessavy UGH! I was in the ER two times this week. Last one I thought I was having a heart attack and I couldn't breathe. Scary few days. Anyway.. I picked up c.diff along the way. I have blood, severely bad cramping (I call it rectal cramping in my abdomen since I have a stoma) and intense gas. Since I have my rectum and anus removed I get this fluttering of massive gas that tries to push out of a closed up area. That is my #1 sign. And I am suffering bad. The blood and the cramping. Sucks.. I have... [ more ]
TE Marie When I have c.diff my frequency goes up and the consistency becomes more watery to water. I eat lite during the day and it so it gets worse as the day goes on, in the late afternoon, evening and into the early a.m. I didn't extend like a balloon, that I noticed, but I wasn't dressed in work attire either. Are you having pain too Rocket? The stool test is the best way to go, and not to hard for j-pouchers to produce. If you aren't taking antibiotics you should be able to do the test at the... [ more ]
Rocket Thank you Vanessavy. I have an appt with a GI/Nutrionist on November 5th. I have asked to be tested for Lactose Intolerance though I hardly ever touch milk products and c.Diff. I just want to get to the bottom of this why after I eat lunch, I have so much Gas that my gut is exentended like a ballon. So I have to pass it. An hour or so later, the same thing. An hour later than that, the same thing. Its like a bomb explodes in the bathroom. Normally, I pass some stool with it after the 2nd... [ more ]
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J-Pouch ForumsPouchitis
Medication for pouchitis or another type of bacteria infection in the pouch
Indiana Just to be clear we can get it in Oz but not on the Public Scheme for pouchitis so we would pay private prices which is $466 for 56 pills. [ more ]
kta This is an old post, but I wanted to add something. I get my Xifaxan from Israel Pharmacy. There, it is called Hepazek. It costs about $200 for 30, 550 mg tabs. Well worth it when I need it. My concierge doctor turned me onto this pharmacy and they are very good. [ more ]
Former Member ❤️
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J-Pouch ForumsPouchitis
Entyvio
liza_s @@Aussie do you have entyvio in Aus? I’m moving to New Zealand from the US in October and just got news I may need biologics. So trying to figure out logistics but think I could do antibiotics for the time being. Only planning on doing 3 months to start and then assess if I want to move permanently! [ more ]
Aussie1 I have had very up and down bowel control times. The "reason" for the Entyvio is to stop/reduce the antibiotic use. When I can no longer put up with the loss of control I will start a course of antibiotics. I have found that cipro X 2 daily for 3 days; 1/2 tablet X2 daily for 4 days; 1/2 tab daily for ~ 5 days and then stop works for me. I notice a big improvement in the first 48 hours. I decided on this course myself and informed my GI of the results at a routine consult. He was a bit... [ more ]
Scott F I don't think it's an Entyvio side effect - it just sounds like the Entyvio is only partially taking care of the problem, at least so far. It might do a better job over time. I've been on Cipro with or without Flagyl for about 14 years, and my GI function is excellent, so I'll be sticking with that (at the lowest effective doses) as long as it works. [ more ]
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J-Pouch ForumsPouchitis
off antibiotics for 3 weeks with oregano oil
Sara Marie I have taken Giam Oil of Oregano capsules for minor infections and it seems to clear them up. I have taken as many as 2 a day before. I don't take it long term because of its blood-thinning effects. The ingredients are vague: Oregano Leaf Supercritical CO2 extract 230mg, Carvacol & Thymol 32mg. I don't know if it adheres to the above qualifications because there is so little information, but I do know it has helped clear up minor infections. I have also found that oregano oil is great... [ more ]
Jmakled Do you put the oregano oil drops alone in the capsule and take it? Or do you put something in the capsule with the oregano oil? I am about to start my trial with oregano oil. I bought the little brown 15ml bottle of doTerra off Amazon. I cannot take the cipro anymore. It’s destroying my tendons, and as soon as I stop, my pouchitis flares up again really bad. [ more ]
Bloesch88 ❤️
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J-Pouch ForumsPouchitis
Undigested Food
lclassen ❤️
Scott F If Flagyl and Cipro no longer work then it’s probably time to try some new possibilities. Rifaximin is well worth a try, as long as you can get insurance to cover it. Other antibiotics that can work include Augmentin and a few others. Some folks also get help (mainly preventing/delaying bouts of pouchitis) from Visbiome or VSL #3, but those are also expensive if the doses are adequate. [ more ]
Sara Marie I have noticed that when I got the pouch there was a gradual but constant reduction in the ability of my guts to digest various foods. I didn't discover psyllium husk powder, which helped slow the transit time, until about 18 years in. Before that, the stool pretty much always had the chewed food look. The slower transit gave my intestine a longer time to absorb nutrients and the food would come out generally more processed. I added digestive enzymes and now the food is even less... [ more ]
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J-Pouch ForumsPouchitis
Are beeswax capsules safe with pouchitis?
Chris KCMO I'm taking the same OregaBiotic product mentioned at the top of this post, which so far hasn't seemed to present any digestion problems. I'm going to stop taking it one week from today. I'm tempted to purchase the Visbiome product as a follow-up, as many do seem to recommend introducing helpful bacteria, though I'm leaning towards not introducing any additional just yet and instead seeing how things progress, so as to reduce the number of factors in my "experiment". If I do end up having... [ more ]
Sara Marie Thank you for the update! Which oregano oil are you taking? Are you still doing the beeswax one? I'm so glad you are feeling better! How long until your month is up? Are you planning to follow up your oregano oil regimen with some probiotics? I think I read that oregano oil can kill off some of the beneficial intestinal flora like antibiotics do. [ more ]
Sara Marie ❤️
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J-Pouch ForumsPouchitis
oregano drops/antibiotic effect
Sara Marie I have used oregano oil capsules short term (like 10 days) to deal with minor infections/internal inflammation and on the skin as an anti-infective. I haven't used it for anything that would be called full-blown pouchitis. The type I have used is Gaia. https://www.amazon.com/gp/prod...ge?ie=UTF8&psc=1 Some people swear by Manuka honey as an alternative to ingested antibiotics. I have only used it for skin irritations and it works great! It's a bit sticky though. [ more ]
cindy greeley I would love to know more about using oil of oregano drops. I’ve had a J-pouch for 15 years and deal w/pouchitis and have to go on cipro. I am curious when I read the thread it dates way back to 2017 rather than anything more current? [ more ]
Jmakled Can someone please please just share the name brand of the pure oil of oregano that they have had success with to stay off of antibiotics. I am desperate for some relief and the cipro is starting to lose its effectiveness. Not to mention tearing my tendons apart. please just share a name brand. Because all brands claim to be pure high quality. [ more ]
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J-Pouch ForumsPouchitis
Pouchitis with possible Chron's
AllyKat I just finished my third loading dose. I was much happier on Entyvio. 10 years till it just stopped working. [ more ]
bionicbowelman I had my first infusion of skyrizi yesterday. Hoping this one works better than the humira and stelara. [ more ]
SteveG Yes, that initial course of prednisone really made sense. I was also recovering from a Covid infection and needed some additional weight. I hope that Skyrizi will help you too. [ more ]
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J-Pouch ForumsPouchitis
discomfort while passing stool
Ljz Yes- that was a typo. Yes, I put little in anus without any issues. The ointment with the 3 ingredients was meant to be inserted in anus to promote healing too. [ more ]
Sara Marie Thank you! I may try that out sometime! I usually use Calmoseptine like Lauren does, but I have wondered if there is anything better because the Calmoseptine comes off when you poop and wipe. When you said "up into Amy's" I imagine you were using speech to text and you actually said "up into the anus". Is that correct? So you put it a little ways in there. Good to know that isn't irritating. I'm so glad you have healed. Yay! And thanks for the tip! I get a sore or itchy butthole from so many... [ more ]
Ljz Those are the 2 products. No sting- thankfully! Had initially used Convatec Stomadhesive but it stung. Initially did 60/40% but I reduced amount of paste. Mixed well. Good luck! I push a dab up into Amy’s and also put plop right at anus. It doesn’t harden as much as Ilex did but best of anything I’ve tried. I do have rectal cuff but had tear and ulcerations inside and around opening. They have healed! [ more ]
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J-Pouch ForumsPouchitis
Solving pouchitis!
FelixGust To be honest I can't really remember Sarah. I suspect each different product has suggestions on daily quantities on the packaging and then I blended them all together and those kinds of quantities [ more ]
Sara Marie So I guess you mostly just experimented with the individual herbs, determined whether they were helpful and how much was right for you, then added them all together in your own special blend? [ more ]
Furious Pouch ❤️
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J-Pouch ForumsPouchitis
Treatment Change to Remicade
Brewbirds CTBarrister- it's been awhile. How are you doing on Remicade? [ more ]
CTBarrister That is what I am thinking- I may need to go to 6 week intervals rather than 8. [ more ]
Jan Dollar You may need shorter infusion intervals. I am scheduled for 8 week intervals now, but my rheumatologist will change it to 6 weeks if my arthritis is not covered well with the 8 weeks. With arthritis, the protocol is 6 weeks, but 8 weeks is the recommended interval for IBD (at least initially, after induction). I remember when I was on Humira, I had to take it weekly, instead of the two week intervals. So far, I am doing pretty good on the lower dose Remicade. I was off all antibiotics for... [ more ]
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J-Pouch ForumsPouchitis
Xifaxan for pouchitis
Indiana I want to try this one but not available in Australia unless you pay dearly, but maybe worth it for one month? [ more ]
FreeAtLast I ran out of my Xifaxan a couple months ago and sadly my Cipro/Augmentin/Pepto combo couldn't keep things stable. My copay for the Xifaxan was $0 through Walgreens, but now I'm wondering what it'll be with my new mail-order pharmacy (ldirx.com). When I had Xifaxan in the combo, I was able to keep things stable (one or two BMs per day, mostly formed) for 7-10 days before I had to add in some (yucky) Flagyl for a couple days for a reset. I'm up to about 6-8 BMs a day now, severely loose... [ more ]
Diesel Ok, thank you for the info! [ more ]
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J-Pouch ForumsPouchitis
Cipro and exercise
liza_s Thanks for the replies! Yes I use pysillum husk. I worry the risk isn’t worth us considering an injury could disable me from my job as a chef. What alternatives are there to cipro besides flagyl? I’m happy to try flagyl as I don’t drink and I don’t remember having bad side effects when I have taken it before. [ more ]
AMB I took Cipro for probably most of the first year or two. Had tendon strain and pain but no rupture. Thank goodness. It certainly slows your output down but can also firm stool up to the point where it causes more harm than good for some. To get off Cipro I was put in Tinidazole for a while which is a next generation Flagyl with fewer side effects. Now I am on Rifaximin 550 TID which has been the best for my "floppy pouch" issue. I'm very happy to be off Cipro. Have you tried psyllium husk? [ more ]
CTBarrister I took it for almost 20 years, almost continuously, and never had tendon issues. Cipro does photosensitize your skin so if you go out in the sun you will burn much faster than you normally would, meaning use a lot of sunblock. Other than the photosensitizing of skin, the one other side effect of Cipro taken long term is being prone to fungal (yeast) infections and viral (warts) in your skin. Especially at higher dosages. I found those side effects are counteracted by rotating onto other... [ more ]
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J-Pouch ForumsPouchitis
stress related pouchitis
Former Member Yeah definitely agreed!!! I went on a walk tonight and it was pretty relaxing! Maybe walking can help you too! And exercise in general! [ more ]
ChelleC I'm so happy, Mrs P, that things are going well for you. I have Cipro right now. If it doesn't clear things up, I will definitely ask my dr what she thinks of Entyvio. Thanks for the info! [ more ]
Former Member ❤️
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J-Pouch ForumsPouchitis
Has anyone tried alternative therapies for pouchitis
SteveG The taste of Flagyl was never a problem for me. There was a little metallic taste some hours after taking the pill, but only if I took the full dose. I was taking a small dose of both Cipro & Flagyl for about 3 years till recently. Right now I started a new biologic therapy with Skyrizi. During a hospital stay due to a Covid infection (my first, the problem was not flu symptoms but diarrhea as usual, associated with weight loss, circulatory problems, kidney failure) in November I was... [ more ]
Brellis @Anna625 its pretty strange that you can have a healthy pouch for 20-30 years and then it starts acting up. What did your diet look like before? and did it changes somewhat before your pouchitis started? [ more ]
loralie78 ❤️
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J-Pouch ForumsPouchitis
moving from long term antibiotics to a biologic
bionicbowelman I moved from employee insurance to ACA in April of this year due to transitioning from an employee to a remote independent contractor. There was a lot of plans to choose from on the ACA for the state I moved, Oklahoma. I made sure to pick a plan that would cover the Stelara that I was using. I ended going with a United Healthcare plan. They had filters and stuff on the marketplace that you select to narrow down the plans specific to what you need/want, including the deductible you want. I... [ more ]
Abdulaziz Hi , how are you feeling today ? what is your current medications ? [ more ]
CTBarrister I felt the same way. I was a Long termer on antibiotics from 1995-2015. I went on Remicade back in 2015 and haven't looked back, although I still need antibiotics occasionally to supplement the Remicade. [ more ]
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J-Pouch ForumsPouchitis
Creon or Pouchitis with Fap jpouch
Former Member I see you are from Bulgaria! You write excellent English! Yeah I think you have pouchitis for sure. I would get antibiotics and see if that helps. [ more ]
Borislav I was 67. 5 kilograms now i am 65.7 kilograms i eat but everything is watery stools can because is like dirrhea lost kilograms(kg) [ more ]
Former Member Oh shit that is high AF!!!!! I would say you have pouchitis but I am not sure with the lipase thing unfortunately. [ more ]
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J-Pouch ForumsPouchitis
Probiotic recommendation?
Former Member Yeah never hurts to try Let us know how it goes hon! [ more ]
CLB Thank you so much for your replies! I don't have much hope for my insurance covering anything, but I will ask my Dr. about sending a letter. [ more ]
Former Member Scott F told me in the past that his insurance has covered VSL, maybe talk to Scott F on how you can get insurance to cover it. [ more ]
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J-Pouch ForumsPouchitis
Pouchitis/gallbladder
Hannah welstead I had ultrascans and CT scans iv got stones just wondered if people who had suffered with it notice that there jpouch becomes irritated and infected with the the gallbladder playing up. Thank you for your reply [ more ]
tulsamom When I had gallbladder problems, the pain was always on the right upper quadrant. But it might be different for different people did you get an ultrasound? That’s usually how they can tell I think.. [ more ]
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J-Pouch ForumsPouchitis
Shelf life of flagyl?
Spooky Thanks! These are good guidelines. I know many meds are good months or even years past their expiry date (i.e. Tylenol, imodium, etc), but I was aware that certain antibiotics had shorter shelf lives so I wasn't sure if flagyl was in that group. But good news. No reason to pitch anything out prematurely. [ more ]
Jan Dollar As long as it is stored correctly, I would expect it to be good for at least a decade. The "use by" dates are fairly arbitrary dates where the drug company guarantees the potency and safety. Tetracycline and liquid antibiotics are an exception. If it is a critical or life-and-death thing, it might matter (like with sublingual nitroglycerine tablets for chest pain). But a slight decrease in potency for most drugs should not matter much. If you are using old stock of antibiotics and do not get... [ more ]
CTBarrister Good question, according to this comprehensive article on flagyl, shelf life is 2 years from date of manufacture, if product is stored at below 25 degrees Celsius and kept out of the light. http://www.medsafe.govt.nz/pro...idazolebaxterinf.pdf You would need to know time lag between when the product was manufactured and when it was shipped to the pharmacy for your consumption. [ more ]
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J-Pouch ForumsPouchitis
Inflamation
Steven Fleischman Hi I’m back after 4 months I recently posted back I do believe in March about my battle with pouchitis. It’s a real pain where you sit obviously, I’ve seen my Gastro doctor since then and he’s basically started me on entiva infusions was on Flagyl and have been onmesalamne 400mg 6 pills per day as I stated in the above from March of this year I had my jpouch out in in 1992 for ulcerated colitis =32 years in the back of my mine I have been thinking about talking to my Gaston doctor about... [ more ]
Steven Fleischman Hi thanks for the information I just started on the entiva infusion treatment have follow up with doctor coming up going to ent ion c oil and see what he has to say right now it feels like I’m married to the toilet 😡 [ more ]
Sara Marie I wonder about that too! Did you end up getting treated for the pouchitis and inflammation, and did it make you feel better? [ more ]
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J-Pouch ForumsPouchitis
Tailbone pain as the main symptom? What is this?
LIZZIEMOM So glad to hear you doing better. Yes….felt pretty rough. High sed rate don’t remember wbc. Low grade fever. All is well with that now except for episodes of pouchitis. [ more ]
OscarThePouch I never updated, mine is pelvic floor dysfunction. There was a small fluid collection near my tailbone but it has been there. I don't have pain these days now that I've been doing pelvic floor therapy and taking laxatives. It's interesting that they didn't find your abscess in imaging. I'm glad you found a responsible doctor that did the proper diagnostics. It can be really angering when doctors don't do their jobs. They did "scope up higher" as you say along with multiple abdominal imaging. [ more ]
LIZZIEMOM Hi Gina, I never respond to posts but yours tugged at my heart. I too suffered from severe tail bone pain, for almost 2 years. Mine was extreme at times with limited amount of relief from (4) advil 4 times a day. Very upsetting time as was working throughout this nightmare. My journey was similar to yours . Many scopes , x-rays and scans. No explanation could be found. Suggested pain management, acupuncture, pain patches , etc, all of which I did. Nothing helped, pain only escalated. Truly... [ more ]
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J-Pouch ForumsPouchitis
Something Besides Pouchitis?
Kevin Q I was just at Cotsco again tonight and their brand of loperamide is actually $5 for a 200-count bottle, not $16! I misread the sign! I took 2 this morning and they worked better than the Immodium! For anybody with a Cotsco membership, I would highly recommend it, as that is a great deal and it works great. [ more ]
Catinthehat Buying imodium over the counter got expensive. My Dr. gave me a prescription so it is much cheaper that way. I usually take it with meals and I also use psyllium fiber. [ more ]
Kevin Q I remember taking Lomitol after my surgery and it working really well. I have considered asking my GI doc for an RX for Lomitol or prescription strength Imodium, but I guess I was just trying to do it with over-the-counter medication first. Although, I wonder if I should at least try the Lomitol again, in case it significantly helps and I haven't been using it this whole time. [ more ]
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J-Pouch ForumsPouchitis
20 years with a pouch
Linzalisha ❤️
Former Member ❤️
Sara Marie Cancer for you too? Or just j-pouch? My takedown was in July 2004, too, or maybe August? I was too drugged to remember specifics from that time. Also the anesthesia messed with my brain for a long time after both surgeries. Cancer treatment ended in March 2005. [ more ]
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J-Pouch ForumsPouchitis
Long term Cipro for Pouchitis
CTBarrister I rotated Cipro and other antibiotics continuously for over 20 years until I finally went on Remicade 9 years ago. Since going on Remicade, I have had to take antibiotics far less frequently- maybe 2 or 3 two week cycles every 6-8 months. I have treated chronic pouchitis for almost 30 years, and my overall status and quality of life is good. I did have to have a stricture dilated at the J Pouch inlet in 2021, but it's been OK since. [ more ]
AMB Returning to the original question concerning Cipro experienced. I was on it fairly steadily for about two years, punctuated with trials of XIfaxan, flagyl and Tinidazole alone or in combination with the Cipro. Tinidazole was ok for a while but when I upped it to a treatment dose I developed vertigo and light-headedness. The Cipro was my most reliable drug, and it really impacted consistency. I was happy to go less frequently, and almost "normally," bit I think some of the inflammation and... [ more ]
Karenchase I take Cipro in rotation with other antibiotics. I find I can take a 2-3 week break between cycles, and I like to do that. I can’t be sure, but I believe I have developed neuropathy in my hands and feet due to extended Cipro use. It’s uncomfortable but not debilitating. This disease has always been a merry go round of symptom and side effect management for me. [ more ]
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J-Pouch ForumsPouchitis
Pouchitis - My story some hope
JPouchDave ❤️
rcrossco_1 "All these years from what I read pouchitis does not come on suddenly. I could be wrong." Pouchitis might not, but cuffitis certainly does. [ more ]
AllyKat Well here’s my question. Unless while having a cuffitis or pouchitis attack unless your scoped how do you really know if it’s that or food related? I too eat organic. Does it make a difference, I’m not sure but I’d rather eat organic than non, difference in taste. I try to balance fruit and veggies with fiber to bind otherwise I’m running to the bathroom. In the beginning I was scoped, a lot, so I know I was dealing with cuffitis. But after the first few years my cuff looks great. Same as... [ more ]
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J-Pouch ForumsPouchitis
Cuffitis Not Improving After 2 1/2 Months
Pouchomarx In my early days of my pouch i had cuffitis and mild pouchitis and he had me on Entocort for several months. Once it all calmed down i was off of it. It stayed good until of course my sinus and leaks started happening [ more ]
Jan Dollar Another suggestion is to bring a family member or friend to hear and remember what was said. Docs can talk pretty fast sometimes, and when you are anxious it can all go 'poof!' I agree that experimental treatment is fine and dandy, but if your insurance does not cover treatment considered experimental and they are not offering it as part of a study (no cost), then I'd want to know EVERYTHING it entails. It does sound like you need face time to fully understand the treatment approach, and for... [ more ]
Kevin Q I'm not opposed to trying experimental treatments in addition to proven courses of treatment, but I will not continue to suffer and likely pay a lot of money just to be a guinea pig. I am only taking Canasa 1/day and am not taking Anucort anymore. This seems like a rather conservative approach. It's kind of frustrating that they are not at least trying other treatments at this point, but maybe their data has shown that long-term Canasa use alone is sufficient. Maybe I just need to be more... [ more ]
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J-Pouch ForumsPouchitis
Acute pouchitis turned into Crohns
katenet Thanks Jan for the support and always voice of calm and reason! Working for a major hospital system has its benefits however leaving the system for care is not permitted under any circumstances. Shen is in network for office visits he just can’t actually DO anything because it takes revenue away from the hospital as he would do it in the past Cleveland and now NYC. All procedures tests surgeries infusions must be done within our system! my only recourse is to quit and I have worked there for... [ more ]
Jan Dollar Kate, I feel for you. Insurance navigation is the worst! The only thing I can say in their defense is that there are probably loads of people who demand out of network providers because of a false perception of better care, when in reality it is just better marketing. But, in your case it is different because you aren’t getting the same care. I can only hope that once you get your diagnosis and plan, the local guys can follow it! In regard to the UC vs Crohn’s debate, my understanding is... [ more ]
katenet Thanks Scott! Without boring the heck out of everyone I have appealed multiple times. My employer is a major hospital system that requires us to get our care there and only there no exceptions. They consider themselves the best and in many areas they are. (This is not one of those areas however). As they are self insured they write the policy and the codes of pouchoscopy, stricture dilation, etc are done there. The appeals boards over the years state that I don’t HAVE to get my care from... [ more ]
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J-Pouch ForumsPouchitis
Steroids for Pouchitis and Cuffitis?
AllyKat There has never been a reported case and this drug has been in trials and approved for over 10 years now. I hope your feeling better. [ more ]
ljk Recently i had to quit the Entyvio , my doctor GI mind you sent me to a nuerologist. After all the testing they dicovered brain atrophy. I was like what me?? Well they they discovered that the Entyvio can cause you to have this infection of the brain called PML that's for sure what I had. I was confused a lot, dizzy all the time, loss of balance. I was tested for PML and it was negative, thank God! after all the testing its being malnurished and not absorbing things the right way. which they... [ more ]
ljk Well today i have to say that i havent felt this good in years!!!! Entivyio must have taken a while to kick in for me. My 2nd treatment is this Monday i cant imagine feeling any better than i do right now. But if i do feel even better, all i have to say is wow!!! I cant believe how good i feel at the moment! Hoping it stays!! My thought is why did they wait so long to give it to me? I havent felt this good in at least 4yrs, when i first had the jpouch surgery. Im thankful for today the you God! [ more ]
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J-Pouch ForumsPouchitis
Advice needed - 5 month post takedown + sister wedinf
liza_s Thanks for the replies! I reached out to both my GIs to see if I could get started. Hoping I hear back today or else I’ll just go ahead and start the antibiotics. i have a new dietician who has a j pouch! So I’m confident I’ll find the right diet for me. However, I am a private chef ( www.Florabellefood.com ) and I am at the mercy of my clients a lot of times. I can’t always cook all day for them and then make something special for myself. Are there tricks to adding more fiber to your diet? [ more ]
Jaypea I agree with Scott's answers. Start the Cipro and take it for at least 14 days. See what happens. I have a healthy well functioning pouch and cannot tolerate too much fibre whether that be grains, nuts, lettuce, fruit etc. That gives me frequency and often horrific butt burn. I'd suggest going back to a soft diet of well cooked items. For those of us without a colon, fibre often is very nasty and works to increase bm's. Have fun at your sisters wedding. [ more ]
Scott F Some people seem to get substantially better pouch functioning on antibiotics even if the clinical findings aren’t clearly pouchitis. It’s less clear whether that gives a lasting response with a 14-day course (like acute pouchitis generally does), vs. long-term antibiotics. The biopsies will usually show mild inflammation regardless of how well things are going, so I think they can be used to justify whichever course of action is preferred. You might be overdoing the insoluble fiber - not... [ more ]
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J-Pouch ForumsPouchitis
Update and advice- help!
rachelraven Yeah, I saw your timeline before, and remarked on the similarities! Back when I had the surgery, I thought I'd never be plagued with issues again. Hah! But we are the trailblazers in this. I hope that our issues can help teach and prevent others from similar paths. Again, I have no regrets, and I'm often still having "good" days. But where 10 years ago I never even thought twice about my bowels,etc., these days, it's not the case. Thanks about the daughter. Worst nightmare ever to pass it on... [ more ]
JJA Wow, that's fascinating about the pathology appearance of our pouches after 20+ years. Unfortunate, but fascinating, and makes total sense why I am now back in the "chronic disease" club... Rachel-looks like we've traveled a similar path with UC as kids and now "old pouches" with csome complications along the way. In 1982, the idea of pouches was in baby steps, so back then I was happy to have been able to hang on with prednisone and relapses/remissions for 9 more years, and I agree, the... [ more ]
rachelraven My new GI doc said that they are seeing a "new" autoimmune disease 20, 30 years post J pouch, where it's like the body is again pulling on its genetic trigger to have IBD, and it's now attacking the pouch. It's one of the scenarios he painted to me as to why I'm feeling like I do, 23 years later. If that's the case, I, too, will be on a "UC" med again. He also said old pouches when biopsied and sent to pathology are reading as "colon" and the pathologist, if not told it's a J pouch, cannot... [ more ]
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J-Pouch ForumsPouchitis
Kidney Stones
Banditgurl Thank you Debbie That makes sense. [ more ]
DG78 Hi Banditgurl, I don't see how a 5 mm stone could cause a bowel blockage. Even if a fistula formed between the urinary tract and bowel and allowed to stone to pass into your intestines, a 5 mm stone would not be large enough to cause a blockage in the bowel, unless you had constrictions that caused the opening to be less than 5 mm. It would possibly get stuck in one of the catheter openings though! I highly doubt the two are related. Good luck to you. Debbie [ more ]
DG78 ❤️
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J-Pouch ForumsPouchitis
Entyvio
Scott F Is this doctor a surgeon or a gastroenterologist? [ more ]
Pots Cool. Thank you. I will be pushing this when I see the good Dr. in 2 weeks. Thanks for the info. I was on Humira for 5 yrs. and this worked until I developed 998 antibodies that worked against it. I had to switch Drs and now This one wants me to do a reverse on the pouch and I don't want to! It is such a life changing thing to do, and I don't want to do that. [ more ]
Anna625 Yeah there is a whole class of biologics that are immunosuppressants that can help. [ more ]
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J-Pouch ForumsPouchitis
Marijuana and Pouchitis
Sara Marie I have noticed that if I use marijuana products regularly I get an increase in inflammation when they have worn off. I think moderation is key. I have noticed no noticeable slowing down of the guts with it, though. Also, sometimes chamomile is listed as a laxative. (I'm not yelling with the bold letters, I was just enjoy the formatting options which I had not noticed before.) [ more ]
CTBarrister I completely agree with what Bill R has posted. Marijuana or opium or any bowel slower isn't treating the underlying cause of the frequent BMs (which is inflammation). Bowel slowers, when used excessively, create less BMs but more bacteria in the J Pouch. Therefore one must strike a balance between slowing the bowels down and keeping the pouch bacteria and inflammation free which are completely separate (and conflicting) endeavors. I am saying this as a regular user of marijuana sleep... [ more ]
PSJ I was on 30-40 pills a day and biologics and nothing worked so I had my colon removed and a new jpouch. During the last months before surgery it was the ONLY thing that allowed me to have a 2-4 hour break, it also gave me an appetite and helped me sleep. I am still having occasional issues (pouchitis landed me in the hospital for a week). One story I tell doubters is I was driving and thought I was going to have an accident. I would NEVER suggest this but it was crapping in a cornfield or... [ more ]
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J-Pouch ForumsPouchitis
Vitamin D levels & Pouchitis
clouseau I have to take 10,000 Vit D a day for my follicular lymphoma and it keeps it up around 65. This is the first time I heard about the gall stones, is that common with pouchitis and UC? [ more ]
Scott F JJA- Many of us have antibiotic-dependent pouchitis, but do well nonetheless. Have you tried different antibiotics? There are a number of good choices. [ more ]
JJA I never really heard of Vit D -pouchitis/IBD link until I learned I was deficient recently. I have had chronic refractory pouchitis for 2 years, and been treated with antibiotics and Entocort for 18 months. Each time I wean, I eventually flare, and now at max dose of Entocort plus a daily cort suppository, I barely teter on the edge of functionality. Scopes and labs show that compared to 18 months ago, disease severity has gone from mild-moderate to moderate, and 18 months ago I was managing... [ more ]
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J-Pouch ForumsPouchitis
My Disturbing Pouchoscopy Pics
Jan Dollar The way I see it, the low carb diet concept is not necessarily an all-or-nothing thing. I do see the point in the notion of self-doubt when a person blames their non-compliance to an impossibly strict diet for their poucitis relapse. But, the modern diet, and the American diet in particular, includes way more carbs than are needed for health. So, even if eating low carb does not "cure" pouchitis, it can lead to better health overall, and for many of us, improved pouch function. So, I agree... [ more ]
TE Marie That is good news about your thyroid levels. It looks like your surgery is a go! [ more ]
Scott F When a very challenging treatment is unlikely to be followed strictly, simply because human beings are involved, the failures are often ascribed to not following the treatment regimen properly. There are two problems with this: 1) any treatment that can't be used effectively by human beings isn't very useful, and 2) sometimes these failures are really because the treatment (even when folllowed strictly) isn't very effective, but the treatment's effectiveness rarely gets "tested" by strict... [ more ]
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J-Pouch ForumsPouchitis
Anyone on cipro/flagyl long term for pouchitis with no issues?
palm55152 this group has been very helpful to me.. my dr now put me on c/f i am away on vacation. should have percocet instead of hydrocodone. so far no need for nausea med. but feel tired and not much like eating except for bread/crackers. has anyone had bad constipation from this?? [ more ]
Jan Dollar Quite true Scott. I was just wondering if there might be some undiagnosed IBD, since pouchitis is also unusual in those without IBD. Of course, another thought is small bowel C. difficile infection (could mimic pouchitis and cause bleeding). Jan [ more ]
palm55152 ok thanks again I had colon ca at the age of 40 am now 70 battle is never over but I am so happy I have found all of you--sure does help--except for the pain lol [ more ]
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J-Pouch ForumsPouchitis
BCIR and cuffitis
TE Marie CLARK, I hesitate to suggest this as it is what I had to do to empty my pouch out before getting diverted to a permanent ileostomy. I have a bidet seat and was using it to give myself enemas 4+ times daily. When I had to be away from home I gave myself manual enemas. It felt much better than straining. I am not suggesting anyone does this without discussing it with your doctor. My Mayo GI and surgeon both knew I had to do this as they both had dealt with the strictures that prevented me from... [ more ]
athena I will have to research that option too, Clark! I'm on several meds for frequency at baseline w my pouch. Many foods I would prefer to eat either get stuck at the site of my ostomy repair or cause more bms. I have done bone broth now for a month and no better. Made it myself, nice and rich, but it wasn't enough. I had antibiotics for 2 rounds, and I am finally feeling better. Now I want to maintain without having another course. I already take probiotics. My situation was complicated from... [ more ]
BillV Clark, I completely agree with TE Marie’s suggestion to be referred to a specialist who might be able to reduce the problems you are having to an acceptable level. If you cannot find one in your area, you could consider going to the Cleveland Clinic or Mayo Clinic. If it finally comes down to pouch removal, you might wish to check out the K pouch and closely related BCIR that do not require having an external bag. Both of these procedures have a high success rate and high patient... [ more ]
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J-Pouch ForumsPouchitis
Managing Intermittent Strictures, Fissues and hemorrhoids
Carey Ok thanks all I will find a gastro and make an appt I didn't always have this much trouble and pain (I have had my pouch for 20 yrs ) maybe because I'm getting older and things just don't work as well as they used to sadly enough. [ more ]
MikeJC Yes, Agree with Jeane. Take antibiotics Carey and don't suffer! I respond well to CIPRO. Some do to FLAGYL. And some take both for the maximum impact as these two actually tackle AEROBIC and NON-AEROBIC Bacteria differently. ( Please consult you're Gastroenterologist for this) Ease off the dairy aswell and any trigger foods for you for faster results. If you are stuck in a bad spiral as well, consider taking a course monthly (e.g) 1 week a month for 3 months so there's some support built in... [ more ]
jeane CArey, Don't suffer take the antibiotics. Within a couple days you should feel better. You prob need a good gastro to help manage your symptoms. Sorry you are not feeling well. [ more ]
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J-Pouch ForumsPouchitis
Clean by Dr Alejandro Junger?
Jan Dollar Yep, no different that alcohol or tobacco. Once you are educated, it is up to you to decide if you can "handle" it or if the pleasure is worth the risks associated with it. Free country and all of that. Unless they are forcing you to buy it and consume it, it is free choice. But, then I get crazy when I see soft drink machines in schools (because the schools get money from the beverage companies to allow them). I don't think kids have enough sense to make good choices. Jan [ more ]
suebear Don't get me started on Hostess; the company went bankrupt because they were in the money laundering business. They could have sold a lot more product had they been running an honest business. Food manufacturers know exactly what they are doing and they do develop processed foods that have addictive qualities. They hire food scientists and spend millions of dollars creating snacks that have the right mouth sensation, taste and texture to keep people attracted to them. There are some people... [ more ]
CTBarrister If they didn't, they may have refined or adjusted the recipe of the Twinkie over time to produce maximum dopamine effect, and then advertised the recipe change by saying the Twinkie has a "GREAT NEW TASTE." It is interesting to note that Hostess, the company which makes the Twinkie, went into bankruptcy proceedings a few years ago but the Trustee elected to hang onto and continue to sell the Twinkie, which is by far Hostess's most profitable product. I don't know if you saw the 2009 black... [ more ]
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J-Pouch ForumsPouchitis
VSL 3 ds
HappyGilmore ❤️
SteveG I'm on low dose antibiotics (Cipro and Flagyl) combined with probiotics for 3 months now. I take a simple probiotic supplement (20 stems, 20 billion CFU per 2 capsules after breakfast, wich is much less than 900 billion in VSL#3 DS). But it has been the best time in 17 years since I have my pouch. I have 4 to 5 BM per day with hardly any urgency. I used to have those two antibiotics only in emergency cases (at hospital) for many years with my j-pouch. It has only been for the last two years... [ more ]
Scott F In the beginning the coverage was automatic for me, but that was a long time ago. Most insurance companies seem to have tightened up. The coverage policy ruling my insurance company finally wrote names VSL #3 specifically, so I have shied away from fussing about Visbiome. OTOH most pharmacies still seem unable to order VSL #3 DS (900). I get it at Sam’s Club pharmacy. [ more ]
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J-Pouch ForumsPouchitis
Chronic Pouchitis
Marty3112 Hi Francois Thank you for your message and best wishes. There are a few side effects, like irritation, nausea, but as I can see nothing major, so fingers crossed. This coming Friday is D-Day when I'll know whether I'll be taking part or not and I was told that if I do and the treatment is successful they will keep me on it. I'll keep you posted with what happens and I hope I don't get the placebo ! I was on antibiotics for my pouchitis which really did work. Take care Marty [ more ]
Francois Hi Marty. Got my J-pouch surgery back in 2008 and have been having chronic pouchitis for years now, sometimes without severe symptoms and sometimes with. VLS3 has not protected me, it seems. I am living close to Paris (France) and here my gastro thinks it may take a while before Alicaforsen becomes available. Still, I am really interested in what it will do for you. Who knows, I might be able to buy and import some from other countries. Did they mention any potential side effects to you ? [ more ]
Marty3112 I'm about to start a clinical trial for chronic pouchitis with alicaforsen enema. This is for people who are dependent on anti-biopics to control pouchitis. The trial involves stopping antibiotics for 2 weeks and then being screened and then using an enema every night for 6 weeks while being in close contact with the medical team. If the treatment is successful the enemas only need to be administered every 2-3 months or so. This would do away with the use of antibiotics, so fingers crossed. [ more ]
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J-Pouch ForumsPouchitis
Visbiome Questions
Scott F Visbiome is better at preventing pouchitis than treating it. I used it (under its earlier name) successfully to delay needing antibiotics for about a year. I still use a closely related probiotic (VSL #3) along with antibiotics, but it does its job better without them. [ more ]
violet Hi, I've just gotten some Visbiome packets (the extra strength kind). I've had off and on bouts of pouchitis for years, with flare ups twice a year. But lately it seems to come creeping back as soon as I finish the antibiotics. I've just finished a regimen 250 mg of Cipro every other day for about 8 weeks. Those of you that use Visbiome, are you using it to prevent pouchitis, or make it go away, or both? I'm not sure if I should just start taking it now to hopefully ward off the P, or wait... [ more ]
Scott F Steven, I’ve done the test. The information, imperfect as it is, is that it helps in my circumstance. A J-pouch isn’t an ideal home for a thriving microbiome, anyway, so a daily push toward a healthier balance seems to be useful. I’ll just have to live with the guilt of that daily slaughter at bedtime. [ more ]
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J-Pouch ForumsPouchitis
Hydrogen Peroxide Enemas
Jan Dollar My thoughts, for what they are worth. Food grade peroxide is used to disinfect prep surfaces, like you use bleach. Food grade does not equal consumable. It means it does not contain certain stabilizers. Contact with the skin can cause burns. Contact with mucous membranes can cause internal bleeding, among other symptoms. You have to dilute it for medical use, like teeth whitening. If you choose to do this, you better know what you are doing. Doctors do actually know more than us about the... [ more ]
drone3 I previously used H2O2 orally effectively for 6 months to control arthritis but for pouchitis I find Colloidal Silver much better. [ more ]
CTBarrister The real issue here is whether hydrogen peroxide enemas are harmful. My doctor told me hydrogen peroxide oxidizes in the bowel and dissipates the lining of the bowel. He told me he studied this while in Yale Medical school. Do you have other information? BTW the suggestion that my doctor is somehow a puppet whore or shill for the Pharmaceutical industry is laughable. He is 70 years old, has made his money, and is one or two years away from retirement. He could care less about pharmacy... [ more ]
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J-Pouch ForumsPouchitis
Don't know what to do.
Jan Dollar Here is a link with good information to see if you fit the criteria. https://www.spondylitis.org/Enteropathic-Arthritis Jan [ more ]
Seirla Do you really think that I've got arthritis? It has crossed my mind, but there's no suspicion of it from my doctors. I haven't asked about it though either. I'd like to find out, I just don't know how to go about it. [ more ]
Jan Dollar If you can get by with treating the pouchitis, as the underlying cause you are better off. I would suggest a referral to a rheumatologist, as it appears you may have enteropathic arthritis. This approach may get you better care for your arthritic pain. I have enteropathic arthritis and I am treated with a team approach with my primary MD, rheumatologist, gastroenterologist, and pharmacists. Jan [ more ]
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J-Pouch ForumsPouchitis
Dr Bo Shen now recommending hyperbaric oxygen chamber for pouchitis
Tom T ❤️
Scott F If the pouchitis/cuffitis is from ischemia (insufficient blood supply) then medications are unlikely to do the job. OTOH it sounds like antibiotics used to work for you, which doesn't fit well with ischemia, unless Shen believes the ischemia has developed somehow after a delay. If it really is caused by ischemia then the hyperbaric chamber might help by increasing the oxygen in the blood that does get there, but you might ask him why any improvement would be expected to continue after the... [ more ]
struggling Hi, I was recently at Dr. Shen for my first visit. I have been having Chronic Pouchitis ever since my pouch was formed. I have tried multiple meds to treat it but none have worked aside from antibiotics which are no longer effective. I went to Dr. Shen because I wanted to see someone who specializes in pouches. He found on the pouchoscopy that the main area of inflammation was the cuff (Severe Cuffitis) and because of that said I have ischemia related pouchitis. I also have mild pouchitis in... [ more ]
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J-Pouch ForumsPouchitis
Cleveland Clinic docter recommendation
JayStahnke Donna- such great doctors in St. Louis! The Washington University GI clinic has been my “home away from home” since I was 18. Unfortunately, the surgeon who did my JPouch (1998) and small bowel resection (2010) moved onto UC health in Denver several years ago. But I get such great care…haven’t needed surgery since 2010, but the GIs are so responsive- my needs are always met - which anything GI related needs fast attention. [ more ]
Donna klable Any pouch Doctors in St Louis, Mo? [ more ]
katenet I can say you are in great hands! She’s very smart and also kind hope you get to feeling better soon Kate [ more ]
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J-Pouch ForumsPouchitis
Pouchitis?
JHendrix Interesting. Something else to consider. I had a diverting ileostomy for about a year and a half and, just prior to getting that, I had a small mucosal prolapse. I was very concerned that it would still be there once the j pouch was reattached but it wasn't, thankfully. I guess I'd better make that doctor's appointment. (I am not really considered 'tall and thin' but I don't have much belly fat!) Thanks for all of the input to help me sort this out. [ more ]
AMB In working though the differential diagnosis another consideration in addition to cuffitis and pouchitis is mucosal prolapse. It can occur at different parts of the pouch and can interfere with evacuation, causing more frequency, incomplete emptying, painful evacuation, spasm, etc. It is said to be more common in tall, thin people without much abdominal wall fat. Diagnosed with barium defecogram and can be treated by specialists with endoscopic procedures. [ more ]
JHendrix The frequency and urgency have continued as has the discomfort (sometimes big pain) when there is stool in the pouch although there often isn't much when I empty. It reminds me of colitis but the stool is not watery. I'm have difficulty describing it, but there's a sense of swelling towards the tailbone but not as high. (I can't palpate anything from the outside) Just an odd feeling. I have hydrocortisone suppositories that I've decided to try although it may be a dumb idea. So far they just... [ more ]
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J-Pouch ForumsPouchitis
Medical marijuana
Jfill21 I’m with you PSJ and these days I don’t hesitate to tell all my docs. I have yet to be told anything negative except to know where it’s coming from. In my case a retired RN grows it to help those in need and it’s legal here in Va. [ more ]
PSJ Fun debate here! Personally I quit that stuff years ago until I got UC. I was on about 40 pills a day at one point, you want to talk about evil? Big Pharma is Evil. The side effects of Prednisone alone (which I bet we ALL have had) took YEARS to get over. One day I had enough (pre-surgery) and decided to try MJ. My wife was none too happy about it either at the time. What it gave me was 2-4 hours of peace in a 24/7 cycle of pain and discomfort. It gave me an appetite when my body was losing... [ more ]
CTBarrister FYI this is the edible cannabis product my sister is using for her sleeping issues, which she recommends. She lives in California where marijuana is 100% legal so she doesn't need a scrip for it: https://www.kivaconfections.co...avor/saigon-cinnamon [ more ]
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J-Pouch ForumsPouchitis
Remicade skin reaction
Msshoe Boda, thanks for the information. I will be taking Dupixent on Monday which I hope will speed up the the cure of the skin lesions after remicade leaves my system. I will definitely not be taking it ever again. Scott, thanks for the update. I bought 2 syringes of dupixent today for a cost of $3100 +. I will take your advice and ask my doc to go to bat for me and see what happens. If they say no, I will not be any worse off than I am now. Like you I am able to afford the drug, but it kills me... [ more ]
Scott F My choice with VSL was to pay for the stuff, and keep pressing the insurer for reimbursement. I knew there was a risk I’d end up out of pocket, but I wasn’t willing to delay therapy until they grew a conscience. I know that I’m lucky to have been financially able to take that risk, though. [ more ]
Boda Hi my daughter was on Remicade and was getting awful weeping skin lesions or sores all over. We had the derm look at her and she said it was probably a reaction to Remicade. She also said it is not uncommon to have skin reactions and to just treat it with a steroid cream. We did and a few months later she had a bad reaction to it during an infusion. She had to stop taking it and when it was out of her system her skin cleared and she hasn’t had a problem since with her skin or her jpouch. She... [ more ]
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J-Pouch ForumsPouchitis
"Chronic Pouchitis"
TE Marie If you let your pouch rest you could also treat it with antibiotics without having waste running through it and that should, in theory, clear up any problems. I was in the hospital 16 days with my first surgery because I kept getting dehydrated. That is a long time. If I ever need to stay longer than the usual 2-3 nights I need to check out where you stay. We paid $112 Mayo rate per for a studio King suite last week with a good hot breakfast buffet at Aspen Suites. I usually don't get to eat... [ more ]
urbhusker My concern with leaving the J-Pouch and rectum in is that when I had the temp ostomy bag I frequently had bad days where I was on the toilet a lot due to uncontrollable mucus (in hindsight that should have been a warning sign) discharge. But Dr. Page mentioned that to me last year....let the pouch rest and possibly reconnect at a later date. I really do not think BCIR is a viable option due to location (and two weeks in hospital) unfortunately. But there is no reason why I cannot get an... [ more ]
TE Marie BCIR would be a better option in my opinion. Could you go back to an ostomy and leave your j-pouch to rest until you can arrange to look into the BCIR surgery? There are people who rest their j-pouches and then reconnect them. Then you could rest yours until it was turned into a BCIR pouch or you decide to remove it permanently. There is at least one person on here that went to an ostomy and left her j-pouch in several years ago. That sounds like something Dr. Page could do locally. I know... [ more ]
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J-Pouch ForumsPouchitis
Lose stools pouchitis or stomach bug
meghspd Yes .. Will do .. Lets see what he thinks or finds out. [ more ]
Jan Dollar Tricky stuff, to be sure. Sometimes these things are inter related, sometimes not. You can develop a neurological disorder independent of whatever else is going on. While it seems suspicious that the symptoms started after taking Cipro and continued with every other antibiotic you took, even topical(!?), but that does not rule out the tingling and numbness being a separate issue. I have severe spinal stenosis in my neck which caused tingling and numbness in my arm. I am taking numerous... [ more ]
meghspd Hey scottF I am right now talking to my physician . Coz I was seing him for blood in urine . But for pouchitis I see a gasteroenterologist . Thanks again [ more ]
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J-Pouch ForumsPouchitis
Yellow Diarrhea
JanWillem When I had yellow output it was a problem with my gal bladder. I had some obstruction there that caused high backpain (between the shoulders). best to visit a doctor, yellow is not a good color for that type of output [ more ]
Derrick I honestly have no clue what’s going on with me. My stools(without fiber supplement have become more formed and are either like pudding/oatmeal or they come out in little nuggets. That has happened since yesterday. My frequency is up because I seem to not go a little at a time and have a little pressure and gas directly where my vertical incision was about halfway or a little more downs. The stool, although formed well, still has a honey mustard tint to it and no sure why. My thought is my... [ more ]
Derrick So now my bowels have been more formed and actually look decent but still are yellow honey mustard in color. Has anyone dealt with this issue with pouchitis? Or has there been an issue with something else for people? [ more ]
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J-Pouch ForumsPouchitis
Rinvoq
Karenchase I have been taking Rinvoq for a few months. My GI prescribed it for symptoms consistent with “post colectomy crohns” and it looks like the signs of inflammation have been reduced, according to a recent scope. It doesn’t seem to have any side effects, but it doesn’t really help my chronic recurring pouchitis. I still take cycles of antibiotics for that. I hope this helps. [ more ]
Glenys D Hi Kate, I've been on Rinvoq for 3 months, and I'm very happy with it. Previously, I was on Infliximab infusions every 5 weeks. The problem with Infliximab was I was only symptom-free for 3 weeks. With Rinvoq, firstly it's a tablet, so I'm not going to the hospital every 5 weeks for a few hours. Secondly, I'm not having to wait 2 weeks until the next dose, because it's a daily dose. I hope it goes well for you too! Good luck! Glenys [ more ]
SteveG I tried Xeljanz a few years ago. Another so called JAK inhibitor. I don't think you should be worried too much about side effects. On the other hand it didn't help me with chronic pouchitis either.# In December I started with a new biologic called Skyrizi. I hope this one has more success. [ more ]
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J-Pouch ForumsPouchitis
Another "is it" question and antibiotics
Former Member We so need to move there ASAP! Lol [ more ]
Lu31 A lot of work places have additional health plans you can opt into that will cover most prescriptions. [ more ]
Former Member You are welcome! And thanks for seeing my point Pretty cool how you guys have Walmart there! You are so lucky you are in Canada!!!! You guys have free healthcare!!! Do you need insurance for prescriptions??? [ more ]
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J-Pouch ForumsPouchitis
Peptobismol
roseviolet Julie, Neither magnesium nor pantoprazole would be appropriate for slowing digestion or easing pouchitis. Magnesium would speed up digestion and make you very uncomfortable with frequent bowel movements and pantoprazole is used for esophagitis or stomach ulcers. Rose [ more ]
CTBarrister Clz81, That's a very sound and well reasoned treatment plan. I did something similar and used Pepto Bismol while on antibiotics when I felt slippage or flaring and now I do the same at the end of a Remicade cycle. If I feel a flaring I take the PB and it crushes the situation. [ more ]
clz81 Chronic pouchitis here for over 10 years. I used PB tablets in rotation with my other antibiotics early on. It worked amazingly well. I didn't know enough about rotating my meds early on and stayed on for several months instead of weeks. I had zero side effects, but it just stopped working (similar to other antibiotics that I stayed on too long). My combo now is 3 weeks on, few days off, and switch antibiotics (Flagyl, Alinia, Xifaxan). [ more ]
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J-Pouch ForumsPouchitis
How to apply for Medical marijuana for pouchitits
Burd How does cannabis help our j-pouch? Does it slow “things” down? I just started using it to help me sleep. But oh my gosh, if it helps in other ways...hook me up! Just retired as a flight attendant, so now I can actually take stuff that is better for me...no more randum drug tests. 🤗 Thank you for your help! [ more ]
PouchLogic I usually vape cannabis, I also use edibles on occasions. Vaping works best for me due to the quick response, sometimes edibles just take to long to kick in. [ more ]
Burd What form of cannabis do you take? Awesome information...thank you! [ more ]
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J-Pouch ForumsPouchitis
Rectal spasms
Scott F Eric, if you’re still taking the Imodium this is probably a good time to discontinue it for at least a week, to see how things go. I’d also suggest starting the search for a new physical therapist, since that seemed to help you, and stopping may have allowed things to worsen. Good luck! [ more ]
EricWalsh82 Thank you. I'll continue to do more research, speak to my doctor and update the thread. You're assistance has been so kind, much appreciated [ more ]
katenet No apologies Its very important to get relief. I am not sure what that is but I can tell you RECTIV provided immediate relief. I can also say that I used lidocaine cream as well. I think the rectiv.com website might have a coupon. For me it was the rectal pressure and straining is the worst thing you can do. It can also be an anal fissure which feels like shards of glass passing through. Its unlikely that its constipation just inability to empty the pouch due to the nerves and the muscles... [ more ]
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J-Pouch ForumsPouchitis
difficulty with bowel movements
Patricia Lenra Have had my pouch since 1986 I’m 59 yrs of age just went through a bad sinus and lung virus had to take antibiotics and Iv steroids was sick for 7 weeks now have pouchitis my first time on this site so greatful to find it. Seems evertime I take meds I get it so I avoid antibiotics and also anti inflammatory meds. I only seem to have problems with meds other wise I take nothing for my disease do try to eat healthy constant drinking water am interested in finding out from others about eating... [ more ]
Marcus1959 Hi GWEEDEE. Sounds a lot like what I have experienced... I have had pouchitis but this was something different. Turned out to me cuffitis. What worked well for me (quickly) was cortifoam. It comes in a small cylinder can a bit larger that a bic lighter. An applicator is put on top and you fill it with the foam, insert it and squirt it. It hits the cuff area and it really opened things up for me. My cuff is a bit larger than normal according to the scopes... I guess because my surgery was... [ more ]
Gweedee Just so you know you can still get c diff without your large bowel or colon. I would maybe check that option out to as it is a pretty simple test. [ more ]
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J-Pouch ForumsPouchitis
No Pouchitis, but bad pain cramps & spasms
Fixmeup I know I am very late reading this thread, but I was wondering if the pain everyone feels is similar to extremely bad gad pains. I have had many periods of extreme pain, but it almost feels like I have so much gas in me and can't get it out. I can actually feel bulges in my belly and I can feel the gas moving around but can't pass it. Just wondering if I possibly have something going on. Thank you for all the help. [ more ]
Sue2001 Hello Everyone, It has been a while since I wrote, but I am doing a lot better. My internist actually switch one of my medications, Lexapro, to Cymbalta. He said that Cymbalta has a pain receptor in it. This has helped tremendously!! I barely have the pain, cramping and spasms any more. Just maybe a couple or few times a month if I don't eat right or possibly over eat. It has been so nice to feel a bit normal again! Just thought I would share and see if this would help anyone else too. Thank... [ more ]
Scott F Tylenol is only a threat to your liver if you overdose. It's easy to accidentally overdose, though, because it's combined into many over the counter medications, and because the dose in your blood goes up if you combine it with even modest amounts of alcohol. I'd sure take Tylenol over Tramadol if the Tylenol worked adequately. If you already have liver disease, all bets are off. [ more ]
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J-Pouch ForumsPouchitis
Thought a reward of getting J Pouch was not to be on medications?
Rebe0505 bet you have not tried the elimination diet yet.sounds like you had a great run 20 years but things change for everyone for all kinds of illnesses etc.. sure i was disappointed that i would after surgery require almost all drugs i used with uc and more or that i felt as bad as i did with my colitis just different bad..but i am persistent had to get over the outcome i expected and deal with what i have..eventually i discovered antibiotics to control my severe issues..did it in a... [ more ]
Daffodilly I am glad you posted this question as it is one that is on my mind too. I have needed to rotate antibiotics for 4 years for pouchitis. Even with all of this medication, I also have a lot of issues with itching in the cuff and the skin surrounding the rectum. Despite my frustration I am not willing to go through another major, risky surgery. Given I have a lot of skin issues now, I would worry I might have them with an ostomy site as well. When I learned 4 years ago that my colon had to be... [ more ]
hull I'll chime in to say that my jpouch has been awesome for the last 14 years and even though I'm having a little trouble lately with either upstream intestinal issues or pouchitis (not entirely sure yet - I just started a thread seeking opinions), it's still waaaayyyy better than my UC days (unremissive, medicinally managed to 5-8 painful stools a day, 24/7 with occasional hospitalization needed for antis and fluids) and waaayyy better than the interim bag. I'm thinking there are a ton of... [ more ]
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J-Pouch ForumsPouchitis
Green Stool
nys An older post....but I get this when I eat very little for a couple days. I guess the bile has nothing to mix with. [ more ]
Rocket My doctor said not to take Probiotics until I finish all the meds. On this site, I have seen that I should wait 3 or 4 hrs. What do you all think? [ more ]
Rocket Thanks Jan. I hope so because as a member of the Knights of Columbus here in NJ, I am needed for kitchen help to cook. Thankfully, I am not the lead chef this time since its a Latin Dinner. The dinner is this Saturday, with all the prep work done the day before and I love to be a part of it. Back in April, I was the lead chef and made two huge pots of Meat and Marinara Sauce that fed 297 people, although there was enough sauce to feed more then 400. Can't take all the credit since I use... [ more ]
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J-Pouch ForumsPouchitis
Feel like rocks in my gut
Karbear Yes, we've all had those embarrassing moments and that is certainly one to laugh about after the fact. Sounds like you're on your way to feeling better. P.S. Those strings should really be longer. [ more ]
Goodspeede Thanks for the reply Karbear! Well here is what happened. I called up my GI doc on Thursday and they were able to call in a prescription for Cipro & flagyl for me. I also have an appointment scheduled for September. While I am sure I had pouchitis, I do believe it was caused from some rare circumstances. On Friday I went to my appointment with my OBGYN. He is a new doctor for me, and so far seems to be a great doc. Well I had my exam and to my embarrassment he actually found a tampon in... [ more ]
Karbear This sounds exactly like my pouchitis symptoms except I also get sharp, stabbing pains in my belly. If I were you, I would call the doctor to ask for a script right away and make an appointment for a scope since you haven't had one in awhile. As for the vaginal discharge. That sounds like it could be normal discharge if your still menstrating. I have had a pinkish discharge in the past both before & after UC diagnosis. Still talk about with your Gyn when you see him/her. Doesn't hurt to... [ more ]
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J-Pouch ForumsPouchitis
Looking for a little advise
Golden Girl I took a heaping teaspoon twice a day. You cannot put in a hot beverage or the heat will destroy the property that makes it effective. But I am sure you could put on toast if you like. I hope it helps you. It took 2 weeks of using twice daily to rid me of Pouchitis. [ more ]
Vinnie_B @GoldenGirl Thanks for the info. How did you use it, did you just put it on food? [ more ]
Golden Girl I struggled with pouchitis off and on for years. My last bout was in 2020 and lasted about a year with me alternating between Flagyl and capri with little relief. My life was hell, I could hardly leave the house. I even considered giving going back to an ostomy. Then I read somewhere about using Manuka honey. I bought some online from Costco and took it twice a day for 2 weeks. No more problems! I have not had pouchitis since. I have mentioned it on this forum. Please give it a try. [ more ]
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J-Pouch ForumsPouchitis
Vaccines
CTBarrister Just had my Covid booster shot yesterday (Pfizer, shot #4). I have not observed anything unusual after any of my shots except a sore arm. [ more ]
Ian65 I also wonder if three covid-vaccination during the last 6 monthes has caused my pouchitis to be quite difficult to treat? It appears the vaccine cause disruption of gut microbiota, according to resent Chinese studies. Could it explain why tradtional rotating antibiotica no longer has the same effect? I have found no recent studies about this but studies take time to publish and this happens now! [ more ]
Scott Sheridan ❤️
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J-Pouch ForumsPouchitis
Pouch medications apo-doxycycline
Scott F I took doxycycline for several months when I had small intestinal bacterial overgrowth (SIBO). It worked well, and seemed to be an effective replacement for the Cipro I was usually on. It did give me some abdominal pain, so I haven’t gone back to it. As CT says, I’ve had good success with high-dose probiotics (VSL #3 in my case). They are very expensive, though, unless your insurance will cover them. [ more ]
CTBarrister Sudie, The Camera Pill is not a treatment, it's a diagnostic tool. It is being mentioned because Crohn's may be suspected (did you have a recent pouchscopy?) Other diagnostic tests are the Prometheus Blood Test, the CT Enterography and the MRI Enterography, all designed to distinguish pouchitis from Crohn's. I had all of these tests except the camera pill. I think you are correct that it's an expensive and useless exercise. I would ask your doctor how will the results of the tests change... [ more ]
Former Member I am sorry you are going through this. Quite a few people here are taking Remicade on here, that is a biologic. I hear a lot of great things about it. Maybe you should suggest that to your doctor and see if he agrees. A lot of people on here have educated me about Remicade on here. One person on here told me that Remicade has a credit card or patient support thing or something similar to that, it is called Remistart I believe, I believe it helps with affording Remicade. I am not sure if it... [ more ]
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J-Pouch ForumsPouchitis
Flagyl/Metronidazole dosage
CTBarrister They also kill the bad stuff that causes all the problems. If you think that probiotics are a panacea that will solve IBD on their own, good luck. That doesn’t fly in most cases. Taking antibiotics with probiotics is often a waste of money because the antibiotic may kill the probiotic or reduce its count. My GIs in the past were against probiotics as a method of effective treatment of IBD as opposed to a dietary supplement, and the two objectives should not be confused with one another. [ more ]
msh98991 Meant to sat that I took one midway between doses of Flagyl and now that I am off Flagyl (THANK GOD!), I continue to take one a day. [ more ]
msh98991 Yes, I am taking probiotic. I was talking one between doses of Flagyl. I like Phillips Colon Health. I am not familiar w/ Visbiome. [ more ]
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J-Pouch ForumsPouchitis
Puchitis and the Flu
John95 I know, it's bizarre. Maybe it's not due to the Tylenol, but I have noticed on previous occasions that my pouch would be irritated for a day or two if I took NyQuil one night. But of course it could also be due to activation of my immune system to fight the flu. I've had colds over the years, but they've never triggered a pouchitis episode. I now assume that I've developed some deficit in barrier function, which has allowed the bacteria in the pouch to get down to the epithelial cells,... [ more ]
Scott F I'm not aware of any evidence that Tylenol contributes to pouchitis. I certainly haven't experienced any connection, and I use plenty of Tylenol. Many folks report that their pouches (or their GI tracts more generally) get out of sorts when they have other medical issues, like colds. I've also noticed that connection. [ more ]
kemp Yes, I know. I hate it. Never thought that pain medication could trigger pouchitis. Need to see a doctor. Output is very frequent. Lost 4 pounds in a week and I don't need to lose any. Just hope it isn't pouchitis. Never had it before. What exactly are the symptoms for pouchitis. AS ALWAYS, thank you! [ more ]
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J-Pouch ForumsPouchitis
BAD side effects from Cipro. Any good alternatives to Flagyl and Cipro long term for recurring pouchitis?
Patricia Walker I have found cipro really helpful. Problem is in UK GPs will now not supply this. I believe this is due to using it over a long term. All I can do now is look at every aspect of food. I know I cannot absorb fats in my diet. I am seriously so good. I have great problems with dairy and now just a small amount of bread. Looking into the Hay Diet. My surgery for K Pouch was over 40 years ago but I am still learning about food. There is a lack of anyone to talk to. My general health is good and I... [ more ]
Franklat Twinkie / marcus, I get a prescription from my GI (or he calls it in directly to the pharmacy). I use a local compounding pharmacist. I'm in NY (Long Island). [ more ]
Marcus1959 I'd like more information on this as well just in case there is a future need of them. Thanks, Mark [ more ]
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J-Pouch ForumsPouchitis
I have to ask. General pouch question.
Scott F I'd advise against taking more than two Lomotil at a time. The atropine gets pretty nasty at higher doses. Take anyone else's dietary advice as no more than an idea you can try on yourself, if you like. There really are *no* dietary rules that apply to us all (other than "stay hydrated"). Most of us don't need to have enemas daily, but a few folks swear by it, and I have no doubt it has helped some. [ more ]
M.E. Originally Posted by judyk: I am wondering myself, how long does it take to have the pouch do it's thing without causing pain and anxiety. I am just four months from takedown and have issues with frequency and accidents but most of all feeling like there are razor blades up inside me. Can't make plans because I never know how I will feel. On a very restricted diet. Just want to get my life back! I have had my J-Pouch for 17 years. I too struggled early on and it took several years for my... [ more ]
Maggie Mae I have been holding on to my pouch for 20 years. Prior to UC my husband and I were extremely active and adventerous. After my pouch my life completely changed. I just accepted my "new norm" and moved forward. Due to autoimmune disorder, I now have severe asthma and bronchectasis as well as crohn's. And continuous bile reflux. My illness wound up costing me my marriage. You are blessed to have a wife who understands. I have been thinking about about removing the pouch for several years now. I... [ more ]
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J-Pouch ForumsPouchitis
Recommendations on Antibiotics
CTBarrister Every single antibiotic I take is maintainance therapy since in my case I have chronic pouchitis kept in check in a "simmering" state by taking antibiotics. [ more ]
John95 I don't know if it's used more often for maintenance therapy per se, but there is certainly literature out there saying that Xifaxan may be an effective maintenance therapy treatment. In my case, Xifaxan wasn't effective when I had active pouchitis. I had to take another antibiotic to get it under control; however, once that was achieved, I went on Xifaxan as maintenance therapy and did very well on it. [ more ]
Leftie Is Xifaxin used more for maintenance therapy? [ more ]
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J-Pouch ForumsPouchitis
Imodium vs Pepto Bismol and Bentyl
Rocket kheane, I recevied your PM. Thank you. Rocket [ more ]
jeane Rocket...I messaged you. Good luck. [ more ]
Rocket kjeane, I have an appt with my GI tomorrow. I will ask him. Basically, I want to make sure I understand you and I apologize for my ignorance, but you use a plastic bottle and fill it with warm water and squezze it into your backside and I assume backside means you would insert that into your rectum? Is that right? Rocket [ more ]
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J-Pouch ForumsPouchitis
Tinidazole Dosage
BK 123 Hi, I'm on Tinidazole for the foreseeable future. I take 500mg twice/day. Been on it a year now and it seems to be working with no side effects. I should also note that I've been on Humira for the same length of time. [ more ]
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J-Pouch ForumsPouchitis
Diet: Do you find that certain foods trigger pouchitis or other reactions?
SteveG Roseviolet, for me it's the other way round. I have hardly ever typical allergic issues. There were only about 3 times in my life that I had an asthmatic reaction to red wine (rattling respiration from bronchial slime) and only occasionally reddish spots of the skin (at the legs) that are not even itchy and get darker, vanishing after some days. But if I take into account many of the singular experiences of my IBD history and the foods I avoid - at least to some extent - naturally by now... [ more ]
Chook2 Scollaps are high in protein and low in fat plus have magnesium and potassium.they go with mash potatoes, curries ,burgers etc.peru seems to produce alot of them. [ more ]
Sara Marie I have never heard of natural msg. The synthesized one gives me terrible headaches. I'm learning so much! [ more ]
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J-Pouch ForumsPouchitis
Natural remedies
BarbieG Interested with anybody's experience with CBD & THC, no smoking, to slow down the digestive system. How much & how often do you use. Interactions with other drugs? [ more ]
Scott F “spirulina is a cyanobacteria . Cyanobacteria have traditionally been classified as algae, referenced as cyanophytes or blue-green algae, but today some treatises exclude them from algae.” The spirulina supplement that’s sold isn’t viable organisms, just “biomass” from dead organisms, so it’s not a probiotic that could compete with gut microorganisms. Nevertheless, spirulina has been studied in IBD and showed some benefit in a mouse model of UC. [ more ]
Creampuff Hi all, I’ve been suffering from bloating and diarrhea as well as all the lovely sounds that go along with those problems since my last revision in 2018. I live in Germany and they’re extremely conservative about prescribing antibiotics which means they won’t give me more than a two week supply which I personally think causes more problems than it helps. All this to say, I wasn’t getting much relief then on a whim I bought some powdered spirulina and began making a smoothie with one heaping... [ more ]
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J-Pouch ForumsPouchitis
Remicade making pouchitis worse
Scott F I’m sorry you had that reaction, @Kgendron . Remicade is more prone (than other biologic medications) to cause antibodies to be produced because of the mouse protein involved. Stopping and restarting Remicade has been controversial for a long time. Good luck with Stelara! [ more ]
Jan Dollar Glad to hear you are doing OK now. Anti Remicade antibodies are a bummer! Hopefully they will be more proactive with preventing antibodies with Stelara. Jan [ more ]
Kgendron So to update everyone on Thursday July 8th I had a massive reaction that put me in the hospital. I found out a little over a week later that I have antibodies to Remicade. I am doing ok now and they are working on an approval for Stelara. My pouchitis flare is going down again and I definitely think it was the remicade that made things worse. Thank you all for your help! [ more ]
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J-Pouch ForumsPouchitis
Chronic pouchitis for 16 years
Former Member Dang, you have tried a lot of stuff. I am glad you are doing better though, I hope it continues. I hope you will not need a bag in the future but if you do, I definitely think you are strong enough to handle it [ more ]
SteveG I've tried several probiotics, including VSL#3 many years ago. Right now I take a supplement with 20 stems from Amazon, but it's difficult to say if there is a positive effect. At least it is no harm also. Steve [ more ]
Former Member I am soo happy you are at peace right now. I apologize if you already mentioned this previously but have you tried probiotics??? It works for some people but not everybody. [ more ]
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J-Pouch ForumsPouchitis
Cipro after Flagyl not working
Furious Pouch The doctor wants me to try cortifoam -feels it should be helpful within a couple days and if no improvement he has me back on flagyl/ Cipro. Will try the foam out and see and will load up on probiotics to see how it goes. fingers crossed this will work. [ more ]
Scott F If I were in your shoes I’d give the doctor a call - trying another course of antibiotics bolstered with a probiotic (that you continue) might do the trick. In any case, although the antibiotics carry risks, so does untreated pouchitis. Good luck. [ more ]
Furious Pouch when on both antibiotics I was good. My current doctor is concerned about long term use and also the possible side effects of Cipro. I see ppl on this site who use both of these drugs as a daily regiment. Another doctor in the same office was willing to consider Cipro as a long term option. Would you suggest 2 weeks or 3 weeks on these again and see? I am worried that if I continue on this path of being on Mesalamine I will weaken more (hard to eat, loosing wght, depressed). While on this... [ more ]
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J-Pouch ForumsPouchitis
Flagyl Alternative Antibiotic
Indiana Thanks JBaru for this reply. I am off the CIPRO now for a few weeks and so far so good. I’m supplementing with probiotics and using wild oregano oil as well to see if I can stave off the bad bugs from coming back. I used to take erytho as it was prescribed at that time for acne so it may not be as effective on me as I was on it for a long time. Again no side effects except sun sensitivity. I know what you mean with the CIPRO anxiety I was anxious on it as well and had a hard time sleeping on... [ more ]
J Baru On Entyvio now...biologics may be the way...we will see [ more ]
Indiana ❤️
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J-Pouch ForumsPouchitis
Can diet or energy pills trigger?
Raj You don't need to supplement diet pills , they are highly processed foods far from natural. Sometimes multivitamins seem to trigger my pouch , so I take them very irregularly now. Continuous supplementing pills can cause a diaroehha like situation for me too. The only few supps I take now are Vit C , zinc , creatine (preworkout) , BCAA ( sometimes post workout) , 1 scoop whey protein and fish oil caps. For weight loss you can drink plain lemon water ( only lemon and salt) at night before you... [ more ]
asdfqwer Ingredients : A complete list of the MAIN and OTHER INGREDIENTS in this supplement can be found on the product label, which is included in the Amazon product images. Serving Size: 2 capsules Servings per Container: 60 Amount Per Serving: Green Tea Leaf Extract - 330mg. Green Coffee Bean Extract - 270mg. Raspberry Ketones - 200mg. Olive Leaf Extract - 160mg. Caffeine - 150mg. Bacopa Leaf Extract - 130mg. Garcinia Fruit Extract - 100mg. Chrysin - 100mg. Forskohlii Root Extract - 60mg. Other... [ more ]
katenet What is in the diet or energy pills? It’s possible they contain laxatives [ more ]
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J-Pouch ForumsPouchitis
Short Term Antibiotics
Raj I've had a very minor bout of pouchitis once post takedown. Tbh like you I too am scared of taking any antibiotics whatsoever. I know many people have been taking them for really long times without any/minor side effects. Its just that with UC I compromised so much with medicines that I dont feel they fix up the issue. For me I had a cough along with pouchitis in the winters and I took 3 days course of 200mg metronizadole BD along with cough syrups. It did give my pouch a bit of relief but... [ more ]
CTBarrister Cramps, loose stools, increased urgency, nighttime incontinence, and incomplete evacuation are all signs of Pouchitis. If you are expecting to feel like you did when you had UC, no. [ more ]
herb ear I haven’t been feeling well for about a week but don’t have clear signs of pouchitis....just cramps and loose stools...how do you know when you have pouchitis? [ more ]
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J-Pouch ForumsPouchitis
EGCg
van Also interested in the dose. If it’s only 1 capsule daily for pouchitis?. Also interested to hear if pouchitis resolved with the green tea extract. [ more ]
Sara Marie Hi! Just curious how it worked out with the green tea extract. How much did you take? Do you still take it? Thanks! [ more ]
katenet ❤️
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J-Pouch ForumsPouchitis
Lomotil
Scott F Darren, it’s certainly possible that the rash was from atropine (rather than diphenoxylate), or even that it was a diphenoxylate reaction that you wouldn’t get from Imodium. It’s probably worth trying the Imodium, IMO, though there’s some small but hard-to-estimate risk of it exacerbating the rash. [ more ]
DarrenKS I have taken low doses of lomotil on and off for 14+ yrs for pouchitis symptoms. Low dosage for me = 1 or 2 tabs at 2.5mg. For past 5 yrs I have used it more regularly and at higher doses = 2 tabs in AM and 2 before bed. In addition to my Cipro treatment, this helped control frequency. Lomotil at these higher doses occassionly left me feeling tired mid-afternoon - something alleviated with a 15 min snooze. Bigger picture for me: ~6 mos ago I developed fairly severe dermatological issues with... [ more ]
RHolt Hi All, I take immodium 2x/day (once in the morning and once around dinner time). I have lomotil, but rarely use it. I have not done psyllium husk, but I know many other J-poucher's do this. Immodium stays in your body for about 10 hours and that is why I find 2 tablets (which I get from Costco) a day sufficient. [ more ]
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Bill Johnson founded the J-Pouch Group in 1997.

After a life long battle with Ulcerative colitis, Bill finally had his colon removed and was given an ostomy in 1993. A failed attempt for a j-pouch and then many surgeries to get back his health gave Bill the motivation to create a web site dedicated to giving support to patients who have had or are considering j-pouch surgery.

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