Suggest Medication For Pouchitis After A Sigmoidoscopy

Posted on Wed, 22 Nov 2017

Question: What is the best medicine to use for pouchitis. A 27 year old male was operated and has a j-pouch because he had Ulcerative Colitis. He has a sigmoidoscopy and has moderate inflammation. Biopsy came back good.

Answered by Dr. Dr Manjunath Metri (11 minutes later)

Brief Answer:
Reassurance is the best treatment...

Detailed Answer:
Hi and welcome to HealthcareMagic...
I thank you for posting your query here and I am definitely going to help you out..

I read your question completely, and have understood it well enough..

Please note..

1. Pouchitis will usually subside on its own..
Better to start on oral antibiotics.
Preferably, Amox combination..

2. Let me tell you, as a surgeon I have seen lot of cases of Pouchitis and all they need is
A. Reassurance
B. Good nutrition
C. Correction of Electrolytes
D. Good Stoma care..

With this.. The patient should be fine, because even the Biopsy report is fine.

Hope this helps..
In case you need further assistance, please contact me back.
Or, you can close the question and rate..
Take care..

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Above answer was peer-reviewed by : Dr. Prasad