Managing Pouchitis: Tips and Experiences

Replies
3
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93
JustSam
Jul 14, 2025 6:06 am

Wondering if anyone struggles with pouchitis and how they control it?

AO166
Jul 14, 2025 7:17 am

Antibiotics

Cipro and Flagyl are prescribed by my surgeon, but I don't handle Flagyl well.

Rifaximin helps and is well tolerated.

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Remdog
Jul 14, 2025 8:53 am

JustSam Cipro is the mainstay that seems to work better than Flagyl.

A good probiotic to help before or after is VSL#3.

Axl
Jul 14, 2025 9:50 am

Cipro and Flagyl in two-week rotations are the go-to for pouchitis and cuffitis, but not the ultimate solution. Flagyl makes me feel pretty ordinary, with a terrible taste in my mouth, and only provided minor relief at best. I moved to a 1 mg mesalazine suppository in the morning and a 2 mg budesonide foam suppository in the evening for about 6 months, and the pouchitis/cuffitis just went away about 3 to 4 years ago. I can't say that's the answer, but that's my story.

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