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BM's at night vs the day

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Ulcerative Colitis
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Posted 2/11/2009 4:42 AM (GMT 0)
I was just wondering if anyone has a lot more BM's during the night then they do during the day. I am finding myself going more at night and in the morning than in the afternoon and early evening. I am starting to think that the meds are not working or I am coming off pred too quickly. I apologize for all my recent postings, just trying to figure stuff out. Hope everyone had a good weekend!

- A
Posted 2/11/2009 4:46 AM (GMT 0)
My best time of the day to go is between 8:00 am and 3:00 pm. I never have to go at night. The rectal meds work well for me this way too, as I'm able to hold them in easily.
Posted 2/11/2009 4:51 AM (GMT 0)
I would get up and go right away in the morning, get ready, and go again before I had to leave. Only when I was having REALLY bad days did I get up to go at night.
Posted 2/11/2009 6:37 AM (GMT 0)
Anthony what you are facing is quite common in UC. We are four siblings suffering from UC and all of us have this issue. Infact at times I used to sit on a sofaset the whole night so that I don't have to go to the washroom time and again. There were times when I would go every five minutes and pass on BMs. It seems that there are some nerves, either on the butt or on the sides which get pressed when one lies down. I could figure out that nerve in my case. In any case the bacterias flaring the UCs are very active during night time and all of us face the same problem. So need not worry at all. Take care. IN any case one piece of advice, even if some doctor suggests you to take Pred - steroid during night time before sleep, please avoid that advice as it can be quite harmful. One can try other options to reduce BMs during night time. Are you taking any antidepressant or nerve relaxing medicines. Anthony I used to be running to the washroom from 8 PM in the evening till 7.00 AM in the morning and could not sleep even for a minute. In any case similar is the position now after the surgery. So cheer up and relax. Have patience. Things would improve. 95% of the people have a bloody night.

Posted 2/11/2009 7:26 AM (GMT 0)
Yes Super. You have found it. That is exactly the problem with me. There is a particular nerve which is right on your knee, which gets pressed when you put your other leg on that. And believe me you, you hit the button and start running for the musical chair. It has been very common for me. I hope you get me. Infact, even otherwise if I would press that nerve, I would have to rush to washroom. So we have found the nerve. Take care. Thanks. Actually since it has been long, so I missed out on this particular nerve. Cheers. Don't press the wrong nerves and panic buttons.

Posted 2/11/2009 7:31 AM (GMT 0)

supersaw said...
PSA....you bring up something about nerves that I wonder about....I've noticed if I lay on my back, or on my side with legs straight, I feel fine, but if I lay on my side with one or both legs bent a bit, I automatically feel like hitting the can. I've found it to be a method of keeping composure when I gotta go and the bathroom is taken up, but its weird how there is such a difference.

I also noticed if I am in a car, and feel the need, if I straighten out the seat so my legs are straighter, then the feeling isn't as bad.

Yes Super. You are right. I forgot. It is now with J pouch, that if I lie straight the pouch gets pressed and I have to rush. Earlier when I would lie with my leg bent on the other, I would hit the BM button and rush. But if I would lie flat on my back and meditate, I could retain the urge to go to WR. In so far as car is concerned, I too had this feeling. Infact the seat belt used to cause a lot of problem and so did the tight jeans/trousers.

Posted 2/11/2009 3:57 PM (GMT 0)

PSA.Delhi said...
Anthony what you are facing is quite common in UC. We are four siblings suffering from UC and all of us have this issue. Infact at times I used to sit on a sofaset the whole night so that I don't have to go to the washroom time and again. There were times when I would go every five minutes and pass on BMs. It seems that there are some nerves, either on the butt or on the sides which get pressed when one lies down. I could figure out that nerve in my case. In any case the bacterias flaring the UCs are very active during night time and all of us face the same problem. So need not worry at all. Take care. IN any case one piece of advice, even if some doctor suggests you to take Pred - steroid during night time before sleep, please avoid that advice as it can be quite harmful. One can try other options to reduce BMs during night time. Are you taking any antidepressant or nerve relaxing medicines. Anthony I used to be running to the washroom from 8 PM in the evening till 7.00 AM in the morning and could not sleep even for a minute. In any case similar is the position now after the surgery. So cheer up and relax. Have patience. Things would improve. 95% of the people have a bloody night.

I am currently in a taper now. I am at 10 mg and will be down to 5 mg next week. I take it in the morning too. I don't use antidepressants or nerve relaxing meds. I try to work out a lot and stick with hobbies to keep my mind off this crap. It is odd ... i will usually go about every 1.5 - 2 hours during the night to pass a BM. It used to be far worse. I have noticed that laying on my back created a much different scenario then when laying on my stomach or side.
Posted 2/11/2009 4:02 PM (GMT 0)
what bugs me is that it's not actual bm's I'm getting up for- it's gas & mucous. This only happens maybe 2x a night, more if I've eaten a big dinner or a lot of junky food that evening. But when I'm actively flaring, I am up every hour, if not more frequently. Which sucks! No sleep just prolongs a flare. If I lay on my left side, forget it, after 5 minutes I feel an urge. Which generally is gas & mucous! On any given "normal" day, I am most acitve in the AM- up at 6:00, leave the house at 8:30. During that time, I generally go 3-6 times, soft formed stool. But at nighttime, unless I'm flaring pretty good, it's just up once or twice for gas, mucous, & to pee! It's very common to lose a lot of sleep due to these nocturnal bathroom trips. Unfortunate....

Posted 2/11/2009 4:39 PM (GMT 0)

Anthony,  Are you taking alot of mesalamine?  When I  started out on 12 asacol a day AND Rowasa every night.  I started having a lot of heavy duty D and for some reason a lot of it was happening at night and early morning (3am -5am).  I had to back off and work my way up to that large amount of mesalamine.  Also the D from too much meds didn't feel as "sick" as the UC diarrhea.   

Thought I'd mention it just in case.

As long as my UC is active and I'm going a lot during the day, I'm also going at least a few times at night.  Rowasa usually accounts for the first trip, though.  I think when I switch sleep cycles in the night it wakes my colon up.  And just like Eva Lou it is usually gas and mucus.

Posted 2/11/2009 5:43 PM (GMT 0)
Things seem to shift for me all the time. For weeks I'll only go during the day. Then for weeks I'll only go in the evening. Last week I was going all the time, but mostly between midnight and 6am. Right now I mostly feel like going all the time but only go after I eat or something. Next week? Who knows.

As for how to lie in bed (or on the couch), I pretty much have to lie on my right side. Left is generally uncomfortable.
Posted 2/11/2009 6:02 PM (GMT 0)

madabs said...
Anthony, Are you taking alot of mesalamine? When I started out on 12 asacol a day AND Rowasa every night. I started having a lot of heavy duty D and for some reason a lot of it was happening at night and early morning (3am -5am). I had to back off and work my way up to that large amount of mesalamine. Also the D from too much meds didn't feel as "sick" as the UC diarrhea.

Thought I'd mention it just in case.

As long as my UC is active and I'm going a lot during the day, I'm also going at least a few times at night. Rowasa usually accounts for the first trip, though. I think when I switch sleep cycles in the night it wakes my colon up. And just like Eva Lou it is usually gas and mucus.

If taking 9 pills a day constitutes a lot, then yes. Funny you mention the D not being as Bad as the UC Diarrhea. I go, but it is not as bad which was weird. The thing is I was doing so well 2 weeks ago, then I got friggin sick and now everything seems all screwed up.
Posted 2/11/2009 6:14 PM (GMT 0)
Anthony Dear don't take stress. The D would get better once you know how to relax. In any case these flare ups are seasonal. So stop worrying be happy. Have you heard of this one "Worrying is like sitting on a rocking chair, you feel you are doing a lot, but you are going nowhere. "
Posted 2/11/2009 7:19 PM (GMT 0)
Well, I only had the mesalamine reaction when I went from a small dose of Lialda to 12 Asacol and Rowasa. Ultimately I credit Asacol with helping me get rid of the constant Diarrhea.. I've never taken pred.

Sorry you are unwell. I hope you find some answers soon.
Posted 2/11/2009 8:58 PM (GMT 0)

Eva Lou said...
what bugs me is that it's not actual bm's I'm getting up for- it's gas & mucous. This only happens maybe 2x a night, more if I've eaten a big dinner or a lot of junky food that evening. But when I'm actively flaring, I am up every hour, if not more frequently. Which sucks! No sleep just prolongs a flare. If I lay on my left side, forget it, after 5 minutes I feel an urge. Which generally is gas & mucous! On any given "normal" day, I am most acitve in the AM- up at 6:00, leave the house at 8:30. During that time, I generally go 3-6 times, soft formed stool. But at nighttime, unless I'm flaring pretty good, it's just up once or twice for gas, mucous, & to pee! It's very common to lose a lot of sleep due to these nocturnal bathroom trips. Unfortunate....


That is just so funny Eva Lou. It is the same way for me. Everything you said it was like I said it. Its funny how things work out. Before I started HW I thought I was the only one. Now lots of times im reading things like if I said them.
Posted 2/12/2009 10:13 PM (GMT 0)
If I have to go at night then I know that my flare up is really bad and mornings are usually the worst for me, but that is I think quite common. In my worst flare up I had to wake up every hour or so and run to the toilet, now with all that asacol I take I have not been in so bad flare up for year.
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