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Please help - not being able to go properly.

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Ulcerative Colitis
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Posted 3/8/2015 5:35 PM (GMT 0)
Hi
For 3-4 weeks now, I am struggling to pass anything in the mornings. I am not eating much either to be fair, but still think I'm constipated/or have inflammation in my rectum.

This co-incideded with my GI prescribing me prednisolone retention enemas. I genuinly think they have made me worse. I pass a little bit of liquid/mucus throughout the day, but am hoping I'm not bunged up with a lot of solid stool waste....

Sometimes I pass very thin - 3cm ish stools, they look like little worms. This gives me an indication that I have inflammation and the opening is very small. I have tried really upping the amount of water/fibre and am using lepicol (psyillium husk) which didn't do anything. I am also passing a lot of wind which I don't normally do.

I have also recently started oral prednisolone having finished my course of enemas.

Is there anything I can do or try, I'm seeing my GI tuesday, is there another enema which is good for this problem?

I'm also on 100mg imuran, 1g sulfasalazine.

Thanks
Posted 3/8/2015 5:54 PM (GMT 0)
it does sound like inflammation. steroids cannot make inflammation worse. this inflammation may be higher than enema reaches.

unless you drink tons of water, the fiber can constipate. also, when microbes are depleted, there can be very little stool
Posted 3/8/2015 6:06 PM (GMT 0)
How long have u beem on imuran? Is it time to increase?
Posted 3/8/2015 6:25 PM (GMT 0)
Im usually on 200mg a day, doctor reduced a few weeks ago as was feeling very tired and had a cold/virus which wasn't going away.

Maybe I should go back up???
Posted 3/8/2015 7:49 PM (GMT 0)
You better ask your dr that! Call tomorrow and let him know symptoms came back when you decreased.
Posted 3/8/2015 8:26 PM (GMT 0)
I suffer with my IBS constipation, not eating is a bad idea, instead eat things that will help move things along, small amounts of food at each sitting (4-5 throughout the day) not large meals and increase your water intake and choose soluble fiber to aid with your constipation...it could be just the inflammation but you could also have developed IBS-C as I did, though it sometimes becomes D so for me it's more IBS-alternating, but definitely constipation is my main issue daily.

Even while I was flaring with my crohn's colitis (CD affecting the colon) my IBS was also bothering me, I had a lot of inflammation in my colon and my rectum (rectum showed some scaring in my last scope) I was able to go to the bathroom easier but I still often strained to pass BM's and now that my inflammation is gone I actually strain much much more on a daily basis, it's not fun at all and drives me up the wall so I would take breaks from eating maybe a day or 2 and doing that did not help it made things worse.
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