Straining bring on flare? (Lialda User)

Hey guys and gals. I was diagnosed with UC about 2 years ago. I have been on Lialda for about a year. It has worked somewhat well, but I still experience bleeding from time to time. Im on a very strict diet, Paleo + Autoimmune Protocol. I have never gotten over that hump though to where I feel 100% for more than a few days at a time. Lately, I've been feeling pretty good. I have had great BM's, solid and great size. Just today, I had a large BM, and strained a little bit. Everything felt fine, but when looking into the toilet, there was a lot of blood. Have any of you brought on a flare up just from straining during a BM?

Also, I have begun to wonder if I should ask my Doctor if I should take 3 Lialda per day. A few times I have felt pretty bad in the evening and took a 3rd and my pain goes away, along with bleeding. Have any of you had a similar experience?

Thanks in advance.

29 year old Male, 165lbs, 5'10, 10% body fat
2 Lialda every morning
2 Probiotics every night
Paleo Autoimmune Protocol Diet
8 hours sleep
Gym 5x's a week

Post Edited (ImAite) : 5/22/2014 12:16:23 PM (GMT-6)

The 2 stools I just passed were 3 and 4. The second one was the thinner, smoother one. The blood was a normal red. Not too bright, but not super dark either.

I forgot to mention that I have Ulcerative Proctitis so everything is more focused in the lower area.

Thank you for the link it seems that this will be very helpful.

Thanks fruitgirl, I'll bring that up with my doctor. Is there a certain one you recommend? Do either come with certain side-effects?

Thanks gary. I'd say 50% of the time I feel good, 50% of the time I feel bad. Do you think it's possible that I've got a fissue, or an ulcer that isn't severe but bleeds whenever I strain? I'm going for a checkup in a month.

With it being proctitis, I get lower tailbone pain, and when worse, I begin to feel feverish and break a sweat..blood, etc. I have to attribute a lot of my progress to my diet.

Going gluten free and autoimmune paleo helped me a lot. What took it the extra mile is when I began my Candida diet after seeing a nutritionist. The main idea is to starve the yeast in your body. The biggest leap from autoimmune paleo to this diet is removing all types of sugars (refined and natural). I don't eat any fruit at all. Also, lemon water every day is a huge plus for me.

I do find it amazing when people 'cure' their UC with just diet though. I'm one year in on it.

Hi Pluot. Well the first 3 doctors I saw diagnosed me with internal hems, even though they couldn't find any. Finally I got scoped and was diagnosed with Ulcerative Proctitis, with a biopsy done. The most frustrating part of this ordeal was that first year when my UC was constantly brushed off as internal hems!

I was a bit surprised just now at the amount of blood in the toilet and when I wiped. So it could be a possibility that since my scope, I have developer a hem. But my GI has never told me that I have any. I was checked a couple times by two different doctors with scopes.

Thanks Gary. I guess when I see blood I feel my possibility of getting colon cancer gets larger and larger. Hate that feeling.

If it makes you feel better, the current figures for cancer diagnoses are just as high for folk without UC pathology.

For males, it's roughly one out of every two, with lung, prostrate, colon leading the way.

For females, it's roughly one out of every three, with lung, breast, colon leading the way.

I wouldn't spend time worrying about something that hasn't happened yet. Just do whatever you can on the preventative front and it seems like you are on it already, going by your signature.

Describe straining....

rectal meds....wth you aren't on them with proctitis?? sheesh.

q