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Can't shake this bleeding

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Ulcerative Colitis
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Posted 6/7/2009 11:37 PM (GMT 0)
about a month ago I had a flare up (going 6+ times a day, BM not formed, lots of blood, etc) which gradually got better. The past couple weeks I've been down to just twice a day and perfectly formed, but for some reason in the morning there is no blood, but at night there is blood on the paper or a little in the toilet. Also, sometimes I have to go and its just blood.

I'm taking coumadin and my INR was a bit high, but I've since cut back on the dosage. I'm also taking 6mp and have been eating at least 2 bananas a day and been drinking good belly probiotics or yogurt after every meal. My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.
Posted 6/8/2009 12:46 AM (GMT 0)
I don't know...do you have hemmies? If so, I imagine the blood thinner would make them bleed more. I hope you get it figured out soon!
Posted 6/8/2009 2:04 AM (GMT 0)

Max3732 said...
 My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.

Well, "lamps" can be pretty hard to digest LOL (sorry, couldn't resist on your little type-o there)...but seriously your diet sounds pretty healthy (granted that is if you're not eating junky stuff and too much refined sugar and such, cuz eating healthy and putting junk in as well is an obvious contradiction to your diet/health).  You should talk to your doc about the high INR from the blood thinner to rule out that possibility...one thing I was wondering about was if you're using rectal meds (or have any rectal disease activity at the moment?)

The fact that it's only happening at night may simply be the nature of the beast of having an IBD as well and not necessarily to do with anything else.

:)

Posted 6/8/2009 2:16 AM (GMT 0)
Hello,
I'm currently dealing with the same thing. All signs of the flare-up are gone, except streaks of blood if I have a bowel movement in the afternoons. The morning are fine, feel good and going twice a day, so I just don't get it. I just can't shake that last part.

Hope someone can help us both!
Posted 6/8/2009 3:09 AM (GMT 0)
I second rectal meds.....of course, I'm biased considering they've worked so well for the past 20 years.

Max...do discuss your blood tests and meds with the doctor and have him/her explain whether there is a correlation.

q

Posted 6/8/2009 3:24 AM (GMT 0)

quincy said...
I second rectal meds.....



q

I knew you would tongue

:)

Posted 6/8/2009 3:31 AM (GMT 0)
Well, it just wouldn't be right if I didn't..haha
q
Posted 6/8/2009 4:44 AM (GMT 0)
I had taken Warfarin (coumadin) for 8 months last year because of my UC-related DVT (deep vein thrombosis). I saw blood quite often during that time and I thought it's because of the Warfarin.
But after I was off Warfarin last October I still see blood a couple of times every week. But my GI doctor doesn't seem to worry about it.
And if I use Entocort (steroid) enema before I go to bed I surely won't see blood the following day.
Posted 6/8/2009 6:47 AM (GMT 0)
I agree with pb4, its got to be the lamps. Lol
Posted 6/8/2009 1:22 PM (GMT 0)
Same here w/ the bleeding. I am trying to taper pred and I get blood....I am on Imuran now, and have been for about 30 days - I am hoping this will kick in and help...
Posted 6/8/2009 3:26 PM (GMT 0)

I tapered to 10 mg. and now on 6 MP - most problem I have is blood - still have it mixed with mucous some every morning.  Otherwise feeling pretty good.  My appointment with specialist in Albany is next week so staying where I am until then - hope he has more answers for me.

ElaineNY

Posted 6/8/2009 4:27 PM (GMT 0)

pb4 said...

Max3732 said...

My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.

Well, "lamps" can be pretty hard to digest LOL (sorry, couldn't resist on your little type-o there)...but seriously your diet sounds pretty healthy (granted that is if you're not eating junky stuff and too much refined sugar and such, cuz eating healthy and putting junk in as well is an obvious contradiction to your diet/health). You should talk to your doc about the high INR from the blood thinner to rule out that possibility...one thing I was wondering about was if you're using rectal meds (or have any rectal disease activity at the moment?)


The fact that it's only happening at night may simply be the nature of the beast of having an IBD as well and not necessarily to do with anything else.



:)

I thought that eating lamps it might make me brighter, but I'm going to switch to lamb now.

Aside from the foods I mentioned I also have toast with the eggs, as well as english muffins or crackers. I haven't eaten out in over a month (so no fast food or anything I haven't controlled). Another thing I've noticed is that sometimes I have to strain a bit and then I go a lot, so I'm thinking it might be constipation which is making the bleeding worse.

My doctor said that one of the side effects of an INR that's too high is rectal bleeding, so aside from cutting back on the coumadin do you think it might make sense to start eating foods that are high in vitamin K that lower the INR? I haven't been eating any greens b/c of the flare up, which is probably why my INR is so high. I've also lost some weight.

So the consensus is that some kind of enema might help with the bleeding?
Posted 6/8/2009 5:06 PM (GMT 0)

Max3732 said...


I thought that eating lamps it might make me brighter, but I'm going to switch to lamb now.

You sound a little sheepish...    wink

Posted 6/8/2009 5:42 PM (GMT 0)
Haha I'm loving the lamp/lamb jokes...tehe! smilewinkgrin
Posted 6/8/2009 6:10 PM (GMT 0)

Max3732 said...

pb4 said...

Max3732 said...

My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.

Well, "lamps" can be pretty hard to digest LOL (sorry, couldn't resist on your little type-o there)...but seriously your diet sounds pretty healthy (granted that is if you're not eating junky stuff and too much refined sugar and such, cuz eating healthy and putting junk in as well is an obvious contradiction to your diet/health). You should talk to your doc about the high INR from the blood thinner to rule out that possibility...one thing I was wondering about was if you're using rectal meds (or have any rectal disease activity at the moment?)


The fact that it's only happening at night may simply be the nature of the beast of having an IBD as well and not necessarily to do with anything else.



:)

I thought that eating lamps it might make me brighter, but I'm going to switch to lamb now.

LOL Max!!!!!!  And ack2009 that was a good one too!!!

Max, If you're having disease activity in the rectom then definintely go on rectal meds cuz that alone could very well be the cause of the bleeding (blood streaked stools as well).  If you are having to strain I'm wondering if you're drinking enough water daily?  Are you getting in enough fruits and veggies daily on a regular basis?  Fibre does aid with either D or C, but drinking enough water is a must as well.

:)

 

Posted 6/8/2009 6:27 PM (GMT 0)
Vitamin E enema stopped my bleeding within a day
Posted 6/8/2009 9:16 PM (GMT 0)
I had the same thing and it was my hemmies...get a sig or see a color rectal doc and have them take a look to be sure. Hope you feel better : )
Posted 6/8/2009 9:20 PM (GMT 0)
Just a thought but blood that's not mixed in with poo can also be from constipation...
Posted 6/8/2009 10:46 PM (GMT 0)
even i get blood/mucus during day especially 1-2 hrs after my morning stools.  i  was guessing the stool movement must be irritating the colon and  them bleed ... the reason for the daytime blood.... i m not sure if my reasoning is correct.
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