Ok, its been 5 years since my last resection and it looks like another surgery is inevitable.. They now have me on Tramadol for pain and Metronidazole and also giving myself a shot of Cimzia once a month. The Metronidazole and the Cimzia isnt working at all. The dr says there is only one more medicine to try and then its surgery. I go see the dr this morning, so we will see what happens.