What do you think?

Mornings are the worst for me. Every morning I feel like I should go to the hospital but I start to feel better by 11-12.

This morning is pretty bad, so I called a relative who is an emergency nurse. Her main question to me was "is it bright red blood" It always is. I've had 8 or so trips to the bathroom with about a teaspoon of blood each time. Her recommendation is to go. I'm anxious about the needles, testing, getting admitted so I start second guessing her opinion. She's a trauma nurse. Bright red blood to her means trauma. How many cases of UC has she seen?

My doctor is out of the office today so I can't speak to him.  I feel ok, other than the cramping and frequency, in the morning. Afternoons, I'm pretty lethargic and dizzy. Right now, I'm a mess with anxiety about what to do.

I've been resting since my last post. Being calm and not moving much really helps calm down my colon.

I had some applesauce and jello only because I need to take my meds. I haven't tapered Prednisone since last week. He dropped me from 40mg to 30mg. I hate the stuff but wonder if I'm taking enough. I also started Canasa 2 nights ago along with the Apriso with no change.

I'm also worried about work. I know, I know...my health comes first but we all know that unless someone really knows what we're going through that they just don't understand. I have applied for LOA but my team is really struggling without me there. My mom is driving me there in a bit so that I can get some stuff together for them. I should be resting...

I would probably try some mesalamine enemas in addition to the Canasa. Maybe do an enema at night, then a Canasa in the early afternoon, once you think your BMs are mostly done for the day.

I wouldn't go to the ER for that, though. I mean, you don't sound like you're in any danger of dying or perforating your bowel.

Hello UC0604,
When do you take your medications? I ask this because I was having rough mornings as well and changed to taking my lialda right before bed to give them the whole night to work.. and I take all my supplements in the mornings.. this seemed to help... I was going off and on all day when I took the lialda in the mornings and after lunch... Now it is just in the morning once, maybe twice when I do have coffee, not sure if the 5ASA's make you have to go or not but it seemed that way to me. I noticed by your signature that you don't list any supplements, so you might want to try them as well.. the aloe vera juice and l-glutamine powder helps me have almost complete normalcy these days with no blood. A lot of folks like the probiotics as well...
Also, you should talk to your work, even though we don't like letting people into this part of our business it will help your stress level greatly. They will be more understanding if they have something to understand. Even just taking that stress off you alone could help your mornings.. Good Luck

I personally like the lily of the desert aloe vera stomach formula... it has other stuff in it like slippery elm, and peppermint etc. which all promote healing and a healthy digestive system...
Keep us posted and good luck

Definitely not a reason to rush to the hospital. Also with all the germs and things you can catch in the hospital, not something you want to be around. I have had two bouts of CDiff since being in the hospital in February. The morning is always the worst for UC/Crohns patients because it just collects during the night and builds up. Last week I just needed like 1-2 hours in the morning to have BM and get my day going, then I felt fine the rest of the day. My GI doc is always much more concerned with the level of pain I'm in rather than the amount of blood so I dont get as alarmed if there's just blood. He also doesnt put me on more than 40 mg of prednisone. We try other things if that doesnt work. Maybe ask about entocort, its not as strong but its a more GI specific steroid and i responded well to it.