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Ulcerative Colitis
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Posted 3/21/2018 7:20 PM (GMT 0)
Around 3 years ago i was diagnosed with ulcerative proctitis. At the time i had blood on stool, on the toliet paper, some tensemus and stomach pain right where the sternum ends top middle of the stomach that my GI didnt think was related. Once i started Canasa the blood went away and for 3 years id run into that stomach pain once in a while. Last 3 weeks ive seen blood on and off on the stool but its only on one side and softer the stool there is less blood or none. I dont have d, my freq is 1-2 times a day and that stomach pain is on and off. Ive noticed when i have a movement there is a pain on one side of the rectum and feels like a burning pain a little while after. GI is on vacation so i am wondering if i am flaring or if its a hemmy or something along those lines. And if its a hemmy whats some advice to treat it or tell if it is. Since diagnosis ive been on 2 lialda daily and canasa every other day. Thanks guys sorry for the long post.
Posted 3/21/2018 8:13 PM (GMT 0)
I'd call into your doctors office as most have an on-call doctor who fills in during vacations and he/she should be able to assist. It's tough when we have both hemorrhoids and UC, to tell which it actually is. Sometimes they just need to take a look, or use a white glove and a finger... Hemorrhoids are rather close to the opening and hurt when touched.

Generally a steroid suppository or topical steroid would be prescribed.
Posted 3/21/2018 8:42 PM (GMT 0)
until you can talk to someone at your physicians office, try upping your Lialda to 3 per day and your canasa to daily -

youtube has lots of hemmy videos - just don't send any money - just watch and learn - and if something (like putting peanut butter up your bung hole) sounds questionable, ask us here first before you try it -
Posted 3/22/2018 1:29 PM (GMT 0)
When I suspect Hemmorhoids I take a small dose of miralax for a few days to see if that helps alleviate symptoms. If you are straining less it puts less pressure down there. Any blood always has me on high alert and Ieven when there is lack of other symptoms so I get what you’re feeling.
Posted 3/22/2018 5:05 PM (GMT 0)
My doctor replied to an email on his vacation. He said with the blood on one side of the stool and since i am having a burning pain on one side during the movement he suspects fissure or hemmy. He said that due to no d no urgency and 1-2 bm a day that its not the colitis. Just having blood for the first time in 3 years has put me on alert. Thats why i was just getting the boards opinion if it sounded like a flare or hemmy/fissure. I just always thought hemmy or fissure brought blood in the bowl and on the TP also.
Posted 3/23/2018 1:23 AM (GMT 0)
That’s great news! Even better news that you now know you have a doctor that replies from vacation. 😄
Posted 3/26/2018 8:09 PM (GMT 0)
I hope it is. I love my GI as when i was diagnosed with ulcerative proctitis he decided to treat from both ends right away and put me in remission right away. The upper stomach pains and the blood in the stool was the same as my flare before and im hoping it doesnt get worse because he doesnt think it is a flare. I just know from reading this board that just because i have no D and go 1-2 times a day doesnt mean im not flaring.
Posted 3/26/2018 9:52 PM (GMT 0)
Kind of having a similar issue over here. It's not just blood-everywhere (like when UC really gets angry). It'll be just at the end of a BM, without any crazy urgency...I called my doctors nurse and asked, she said it was more than likely 'roids. She pulled up my chart and told me I had them....Which I wasn't aware of. So that's always good? - The difficult thing about UC is just trying to figure what's emergency-room symptoms and what's flare-up symptoms..
Posted 3/27/2018 12:12 PM (GMT 0)
"The difficult thing about UC is just trying to figure what's emergency-room symptoms and what's flare-up symptoms..."

Go to the ER if you are in extreme pain, dehydrated and dizzy, and running a high fever as those things are potentially life-threatening (plausible pancreatitis, sepsis/intestinal perforation, toxic megacolon) and can be treated by the ER staff and/or get you admitted to the hospital.

If it's frequent bms, blood in stool, and other symptoms that can wait until you can see your gasteroenteroligist then call and see him/her asap (and ER staff will only refer to your gasteroenteroligist for those things, as they cannot treat or manage IBD symptoms).

A flare is a consistent worsening of your UC symptoms (not a one-time bad day) and might include one or more of the following depending on severity: blood on stool, urgent bms, increased bm frequency, pain, diarrhea etc. We can have little flares, moderate flares, and severe flares.
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