Very lost and confused

Hi

Since my last colonoscopy about a month and a half back which showed everything healed except mild erythemea in mid sigmoid colon have been having blood streaked stools on and off inspite of doing mesalmine enemas nightly and 4.8 grams mesalmine orally . Got a sigmoidoscopy today and doctor said there was just the one small patch in sigmoid with mild activity but did not show any signs it could be bleeding . So where is the blood coming from . I am at my wits ends because now it seems to be coming and going . Tried doing the enemas twice a day for a month but this is the only symptom that persists . There is no urgency , frequency is my normal 2-4 bowel movements a day depending on how much I eat . Gi said to forget about the blood and it will settle down . Any ideas on how to proceed because no one is giving me any answers . The enemas definitely help because he said that the rectum looks great .

Hi Quincy
Was waiting to hear from you 😊 Biopsy was taken when colonoscopy was done in July . Report said quiescent ulcerative colitis with mild activity . But both times there was no fri ability seen so doctor insisted could not be bleeding . No biopsy was taken today . On and off is its there in the morning stool but then won't be there in the rest . Or it won't be there for two days . It's all very strange . Steroid foam is available here ,not enemas . Not sure if it will reach the mid sigmoid. I am on vsl 3 probiotics

😎

Steroid foam one night and mesalamine the next...or steroid on morning and mesalamine at night...yes, the colifoam will reach the sigmoid....proctofoam wont.

So blood with only one bm? What do you mean by the rest...how many times a day and when do you go?

q

This sounds like a hemorrhoid or small wound in the rectum that gets opened with the stool. Maybe more with morning stool because it sits there longer.

Usually IBD bleeding has some level of mucus involvement.

I am not sure how far into the rectum scoping really starts. I always assumed that in initial inch or so was missed.

good luck

Hi
I poop normally three to four times a day , sometimes the blood is there sometimes not . He did say I had a small hemmi so maybe that's getting irritated with the tip or something . Will start the steroid foam in the morn , how many days should I do the foam

Quincy the steroid foam reaches 35 CMs up which is where the patch is ?