How is pouchitis treated?

Pouchitis is usually treated with a 14-day course of antibiotics. The doctor may also recommend probiotics (“good” bacteria that normally live in the digestive tract) such as Lactobacillus, Bifidobacterium and Thermophilus.

Some patients may develop chronic (long-term) pouchitis A low-carbohydrate and/or low-fiber and high protein diet may help relieve symptoms of chronic pouchitis, or the patient may require therapy with anti-inflammatory agents or even biological agents. Antidiarrheal agents may be used to treat frequent or loose bowel movements.

What can be expected after treatment for pouchitis?

Patients who are having a first episode of pouchitis are almost always treated successfully with antibiotics. However, in many cases, the disease relapses (comes back) at a later time.

Last reviewed by a Cleveland Clinic medical professional on 01/16/2019.


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