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Sometimes blood, sometimes no blood

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Ulcerative Colitis
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Posted 4/29/2016 4:11 AM (GMT 0)
Up until yesterday, my current flare has presented as 3-4 BMs a day that are watery and with blood.

However, the last 2 days I have noticed that there is no blood in some BMs (usually the first 1 or 2 of the day) and the other BMs will have blood.

Some of the BMs also include some loosely formed stools among the watery stools rather than just watery stools alone.

Has anyone experienced a similar thing and have any ideas about why there is blood sometimes and not other times?
Posted 4/29/2016 11:20 AM (GMT 0)
Bleeding from uc inflammation and ulcers can be very, very small amounts. It can pool if there's been many hours since your last bm, and then you see blood. I'd typically see blood only with my first bm, after sleeping 7 hours. I'd then have more frequent bms and not see blood with them.
Posted 4/29/2016 12:20 PM (GMT 0)
Thanks John.

The last two days I have seen no blood in the first BM, which comes after 8 hours sleep and sometimes more than 12 hours after my previous BM. Even the second BM has had no blood.

The third has usually had some blood - albeit less than a week ago or so.

I would have thought the first BM would have blood - as you say, from pooling overnight.
Posted 4/29/2016 6:11 PM (GMT 0)
Are you using rectal meds of any kind? if not, try them....mesalamine retention enemas would be a good start.

q
Posted 4/29/2016 11:30 PM (GMT 0)
Yep I'm using Salfalk foam enemas. Cannot keep in the 4g liquid enemas :(
Posted 4/30/2016 2:11 PM (GMT 0)
I'm currently experiencing this as well. My pattern = 1st BM of day within 5 minutes of being vertical out of bed with a high degree of urgency. Starts with a lot of mucus, then formed stool, and then right at the last part of the BM there will a small amount of mucus with a little blood. If I have a second BM in the same day it is generally more solid and formed and sometimes a small amount of mucus with a little blood right at the end of the BM. So for me the worst one is always first thing in the morning, and then things get "better" throughout the day. Sometimes blood ( ugh ), Sometimes no blood ( yay ).

I also experience my worst overall inflammation in the middle of the night ( the cystic acne on my scalp from the prednisone creates a type of pain that I could only compare to hot acid dripping on my head ) in conjunction with some degree of night sweats ( sometimes heavy, sometimes light ). The more I've been reading about this the more I'm starting to believe it's from the lack on endogenous cortisol production due to the prednisone ( temp shut down of the adrenals ) that I would normally get, and my hypothalamus being off also due to the pred. Good times I tell ya.
Posted 4/30/2016 3:40 PM (GMT 0)
Uc is anything but consistent bm-to-bm, especially when you've got some simmering inflammation. You can have one bm that's solid, one that's diarrhea, one that's semi firmed, all within the same day. Same goes for blood or mucus, sometimes there, and sometimes not. That's very typical, and any of the folks here who've had uc for years can confirm. Don't try to read too much into those fluctuations, there's no reason or meaning to it. Look for week-to-week improvements.
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