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Doctor insights on: Causes Of Pouchitis

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What is pouchitis? Is it a major problem?

What is pouchitis? Is it a major problem?

Infl ileoanal pouch: Some with ulcerative colitis need surgery (colectomy) for control. Connect ileum (small bowel) to anus: get rid of diseased colon, prevent colon cancer. Fashion a reservoir of loops of ileum for the connection; same appplies to ileostomies. Inflamed pouch, increased discharge, frequency, pain, fever, occasionally bleeding. Rx acutely with antibiotics; might prevent with probiotics. ...Read more

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Is there a particular type of probiotic I should try to reduce pouchitis in my j-pouch?

Is there a particular type of probiotic I should try to reduce pouchitis in my j-pouch?

Need more than that: For your pouchitis , make sure you are going for follow up visits , most common problem is growth of abnormal bacteria , large blind loop , stasis of loop etc , when corrected any probiotic will help , good luck. ...Read more

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Are there any new treatments to prevent pouchitis from occurring every 3 months? Flagyl makes me ill.

Are there any new treatments to prevent pouchitis from occurring every 3 months? Flagyl makes me ill.

Yes: Once you have gotten better with the flagyl, you can see if a probiotic will help you maintain remission. Another mediation to try is ciprofloxacin. Pouchitis is the most common complication after ileal pouch creation, affecting up to 30% of patients. ...Read more

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I have autoimmune pouchitis if i go back to a iealostomy will the pouchitis go away. I am afraid of taking imuran or 6mp. ?

I have autoimmune pouchitis if i go back to a iealostomy  will the pouchitis go away. I am afraid of taking imuran or 6mp. ?

You may feel better: Returning an ileostomy will reduce many symptoms. Some symptoms may persist, depending on the cause of the pouchitis. Returning the ileostomy is recommended if you are not responding to the normal treatments and the symptoms are making your life difficult or impossible to live. Most patients tolerate Imuran and 6mp well, so discuss fully with your physician. ...Read more

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Had colectomy and chemo 8 years ago. Still going 10-20 times daily to bathroom. Pouchitis sporadic problem. Any way to decrease number of stools?

Had colectomy and chemo 8 years ago. Still going 10-20 times daily to bathroom.  Pouchitis sporadic problem. Any way to decrease number of stools?

Yes: Pouchitis? I assume your colostomy gets inflamed. Begin with diet and start a low fiber diet. If no better after 1 or 2 weeks try bulking agents ( fibercon or equivelent). It's counter intuitive so first try no fiber then trying more fiber to see which helps. If still a problem consider small amounts of Imodium regularly. Look into all your medicines and make sure diarrhea is not induced. ...Read more

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My last dose of Flagyl and Cipro was taken this morning for pouchitis flareup. I now have a yeast infection, when can I take Diflucan 150mg?

My last dose of Flagyl and Cipro was taken this morning for pouchitis flareup. I now have a yeast infection, when can I take Diflucan 150mg?

Not on your own: Inflammation of pouch is a complex problem , is the result of various reasons , like obstruction , blind loop , poor motility , poor vascular supply , and due to partial obstruction etc , speak to your doctor , Diflucan will be one of the consideration for your treatment. ...Read more

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What might cause anger issues?

What might cause anger issues?

Two thoughts: The possibilities here are numerous, but at least two that come to mind are 1) childhood developmental factors, and 2) anger as covering over other feelings. For the first one, if children aren't taught to deal with anger early on, they'll have trouble with it later. For the second one, anger can sometimes be an internal defense against other, more troubling feelings that are harder to express. ...Read more

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Reintroducing grains after paleo, and i feel sick. Is my body freaking out from "foreign objects" or did grain-free cause grain intolerance?

Reintroducing grains after paleo, and i feel sick. Is my body freaking out from "foreign objects" or did grain-free cause grain intolerance?

This is the norm: Grains are really hard on a person's gut but for most of us our gut gets used to it. However, when you stop eating grains for a time and then add them back you are asking your gut to adjust too quickly to eating grains. Your experience is the norm rather than the exception. Were you to keep eating grains things would eventually improve though they will never feel as good as not eating them. ...Read more

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What causes feelings of shame and guilt?

Guilt and Shame: A certain amount of guilt means we have a conscious, when it is excessive we have developed a punitive attitude toward ourselves that is excessive and unwarranted. This is learned behavior and any learned behavior can be unlearned. Shame is often the result of being humiliated too early in life and then you can be easily shamed and embarrassed for just being human. Best. ...Read more

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What is cause of declining vision?

What is cause of declining vision?

Aging or disease: Difficult to answer without more signs and symptoms, test results. ...Read more

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