Pouchitis is inflammation of the ileal pouch-anal anastomosis, a surgical creation for ulcerative colitis. Symptoms include abdominal pain, diarrhea, and rectal bleeding, often treated with antibiotics.

Cipro

Ciprofloxacin

250|500|750|1000mg

Flagyl

Metronidazole

200|400mg

Pouchitis FAQ


What causes pouchitis after ulcerative colitis surgery?

Pouchitis is likely caused by bacterial overgrowth or immune response in the pouch.

What are common pouchitis symptoms?

Symptoms include abdominal pain, diarrhea, urgency, and blood in stool.

How is pouchitis diagnosed in Malaysia?

Doctors use pouchoscopy, stool tests, and symptom evaluation for diagnosis.

Is pouchitis treatment always with antibiotics?

Antibiotics like metronidazole are first-line; other treatments may follow if ineffective.

Can pouchitis recur after treatment?

Yes, some patients experience chronic or recurrent pouchitis.

What dietary changes help manage pouchitis?

A low-FODMAP diet may help reduce symptoms in some individuals.

Does pouchitis increase cancer risk?

Long-standing pouchitis may slightly increase colorectal cancer risk.

Are probiotics useful for pouchitis?

Certain probiotics like VSL#3 may help maintain remission.

How long does pouchitis treatment take?

Antibiotic courses typically last 2-4 weeks, varying by case.

Can pouchitis lead to pouch failure?

Chronic, severe pouchitis may require surgical intervention.

What medications are prescribed in Malaysia for pouchitis?

Commonly prescribed antibiotics include ciprofloxacin and metronidazole.

Is pouchitis contagious?

No, pouchitis is not a contagious condition.

How does pouchitis differ from Crohn’s disease?

Pouchitis specifically affects the pouch, whereas Crohn’s can affect the entire GI tract.

Can stress exacerbate pouchitis?

Stress may worsen symptoms but does not cause pouchitis.

What is the prognosis for pouchitis patients in Malaysia?

Prognosis is generally good with timely treatment, though recurrence is possible.

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