Ok so for about 2 weeks I have been spotting blood from my vagina during a bowel movement, I saw my gyn. had a pap test and exam, went over my history with crohns with him, I have been in a flare this whole past year, stated Imuran about 6 months ago, started entocort 6mg about 2 months ago. So no loose stools I am actually kinda constipated so I strain quite a bit with a bowel movement, for a while now my bottom just feels kinda brused its not a sharp pain feeling it feels like I am bruised when I sit and when I have a bm. I told him about that and so he also did a rectal exam where he also took a culture from that and showed positive for blood.. so that kinda scared me, doc. reasured me he felt no masses or anything abnormal, it was probably nothing and to follow up with my GI, I can't get in to see him till May. It has been a little over 3 years since my last colonoscopy so I am wondering if I need to push to have one of those.. so back to this bleeding I am having, doc. wants me to have a saline infused ultrasound of my uterus, to get a good look at that, he also wanted to know about fistulas I have never had one but could it be possible to have one that has gone from my rectum to my vagina? I would think I would be in pain from that. I guess I am just scared and need to talk about it, I am waiting to get results from pap test and have this dang ultrasound, its just weird that the only time I get this spotting is when I strain to have a BM, has this happened to anyone else?? Any thoughts or insights woud be greatly appreciated!!! Also found out I am anemic at this appt. I have a very strict diet of low fiber because of strictures so never hardly eat meat, starting on a supplement of Iron. Thanks