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One month ago blood tests showed no inflammation, today starting to see blood again

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Ulcerative Colitis
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Posted 2/26/2017 1:59 PM (GMT 0)
Hi everyone,

I hope somebody can answer my question. I have mild UP under control since July with pentasa suppositories. On mid january I got blood and stool tests which came back totally normal. But yesterday I saw a very little and light amount of blood or pink mucous on the toilet paper (not on the stool) and it happened only on the second BM of the day. Can one have perfect tests that apparently show no inflammation and one month later start bleeding again? Can the rectum get ulcerated so quickly? Or can one bleed without ulcers? I mean, can the inflammation without ulcers yet, already cause light bleeding?

Thank you in advance!
Posted 2/26/2017 3:09 PM (GMT 0)
Hi...blood tests nor stool samples would determine a flare.

Bleeding on tp could be a fissure. Although, pink mucus could be a flare.

Are you not having any other symptoms such as constipation, rectal discomfort upon bms, etc?
q
Posted 2/26/2017 4:22 PM (GMT 0)
Hi Quincy, no I don't have any other symptom, just the pink toilet paper and a burning sensation on my bum since yesterday, but i have had this sensation on and off since I was diagnosed and my doctor told me it could be from the suppositories, that could irritate the area....

Today I've had no sign of pink blood, but I've upped the suppositories from 3 nights a week to one every night until I get an appointment with the doctor.

Sorry for the gross question but, the mucous from inflammation can be completely liquid? Since my diagnosis, I often have like a yellow or brownish líquid drops with my stools. I think this liquid is what was pink yesterday. I told once my doctor about this yellow brownish drops and told me it was "normal"... For her everything seems always to be normal, so I never have a clear answer on anything.

Thank you for your anwers!
Posted 2/26/2017 5:43 PM (GMT 0)
You may want to consider asking for enemas, they are good to have on hand too, but i think it was smart to increase the pentasa to nightly for the time being. I wouldn't get too crazy thinking the worst. It very well could be a hemorrhoid or fissure. I feel like the word "normal" is somewhat individual. While most people likely don't see drops of anything, it's probably not uncommon to see something. I haven't been normal in so long, it's hard for me to say what's normal these days smile Try to stay calm. I bet the increase in rectals will help get your mind off this - but of course, keep an eye.
Posted 2/26/2017 7:05 PM (GMT 0)
blood and stool tests are imprecise measures of inflammation - and even less connected to symptoms.

inflammation can rise up over a few weeks

the blood could be due to inflammation or small tear. the mucus is more of an indicator, but not so much if clear.

just keep a watch for increased symptoms
Posted 2/26/2017 7:19 PM (GMT 0)
Thank you for the advice notsosicklygirl, I will ask about the enemas. Until now my doctor has not given me anything stronger than the suppositories as she thinks that with just 10 cm mildly affected, it is not worth it... And in my first flare the supps stopped the bleeding very quickly. Yesterday I was very scared, today I feel better. It is so relieving to be able to "talk" about all this with people that can understand.... Thank you!
Posted 2/26/2017 7:28 PM (GMT 0)
Thanks DBwithUC, I felt so happy with the results of the tests that I almost felt like I wasn't ill... I guess that with this disease you can never get too confident.
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