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Tapering pred suddenly blood again advice needed

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Ulcerative Colitis
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Posted 4/11/2017 8:30 AM (GMT 0)
Hi all, still getting used to this condition so apologies for all the questions. I've been tapering down my pred for the last 3 weeks and I've had no bleeding and 2 stools per day for the last 16 days but all of a sudden this morning I passed a very fast moving loose stool and there was some mucus and a bit of purpley looking traces of blood on whiping so to be honest I'm not sure what to do? Should I carry on at my specified dose of pred or should I call my nurse or just watch this space?

Any opinions would be appreciated
Posted 4/11/2017 10:00 AM (GMT 0)
I'd carry on at your prescribed dose as one day episodes aren't of much concern (we can have random bad days). However, trends are of concern. I'd recommend hanging in there for 4 or so days and see what happens.

If that happens consistently then you might be prednisone-dependent at the prior dose. I'd go back up to the prior dose in that scenario and contact your gasteroenterologist for further instruction. You'd have to adjust your maintenance medications, wait a bit for them to take affect and then resume the pred taper.
Posted 4/11/2017 10:23 AM (GMT 0)
Ipoop your always the one thank you, I am learning to be calmer I'm just not very experienced I'm supposed to be going in to see my consultant on the 19th and they are going to give me azathioprine and having read about this I'm comfortable to give it ago. I still feel well and as said I'm still only going twice a day but just the tiny traces of purpley blood just depressed me for a bit, could kind of tell it was going to happen had a dull ache on left side last night and weirdly whilst having a bm I could tell by how fast it came out it could contain some blood or mucus. Thanks again your so kind to keep offering help to those of us who just have no experience I do still feel really well so will continue for a few more days and see how I go
Dave
Posted 4/11/2017 12:09 PM (GMT 0)
Just spoke to my consultant and she said she's not work and to keep an eye on it but as it was only a trace of blood and no increased amount of bms to continue the treatment until I go in on Wednesday where they are likely to prescribe azathioprine
Thanks all
Hate this condition but life is for living
Posted 4/11/2017 12:48 PM (GMT 0)
what is your current pred dose and how long have you been at that dose ?
Posted 4/11/2017 2:29 PM (GMT 0)
25mg and 4 days I started on 40mg sat the 19th march then drop 5mg each week so been on 25 for 4 days
Posted 4/11/2017 4:42 PM (GMT 0)

Hampy said...
25mg and 4 days I started on 40mg sat the 19th march then drop 5mg each week so been on 25 for 4 days


have you been on pred before ? if not, i would suggest staying at 25 for another week and see how it goes - it's never good to be on pred, but once you are on it, imo, it's better to try and make the current regimen work for you -
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