Seeing red again

At the end of my proverbial rope.  No more urgency and/or frequent bowel movements, etc.   Pretty much on a regular schedule.  Every now and then though I have bright red blood on the toilet paper after wiping.  Have been fine for quite awhile and now it is back.  It is bright red, and only appears to streak the poop (which is obviously brown in color).

I have used rectal enemas (mesalmine) off and on with some success, although these usually increase the frequence of my BM's and also make the movements less solid which I find to be somewhat less than desirable.

I assume I have either chronic inflammation in the rectum and/or a slight fissure or hemmi?  

Curious how many UC sufferers have chronic bleeding at that end that simply never clears up.   Again, aside from this blood I really am at the point of no other symptoms.

 

My doctor originally prescribed the rectal meds to be used every third day. Based upon your advice previously, I started using these 5-6 times a week (so not quite daily, but much more frequently then what he originally prescribed). I would do this for a couple weeks at a time but then would quit when everything seemed to get better. (In general I do not like using these as the morning after use is really the only time I have any sense of urgency)

Essentially what would happen after that is after another week or 2 off the rectal meds, I'd have a BM which would generate the blood. Again, it is bright red and primarily on the toilet paper - no lingering blood after wiped up through that, and sometimes is streaked or at the very edge of the BM itself (in no way appears that I am "pooping blood" like what I had when I was first diagnosed a couple years ago).

Frankly, it hurts when I do these rectal meds and I have thought for awhile that I damaged the tissue up there when applying the enemas. They may be helping but also hurting at the same time?

You mention ointment. Is there something else I should try to heal that area?

Thanks.

I am Colozal - I take 9 750mgs a day.  Also take a probiotic and occasionally fish oil (often wonder if these help or hurt).

When it is all said and done, my only current issue with UC is occasionally (I'd say probably on average once a week), I'll have a day with blood when I wipe.  It's really just limited to the toilet paper, bright red, and generally only lasts for a day to be followed by no blood for several days up to a couple weeks and then it happens again.  I do occasionally notice some mucous, but again, this is quite minimal and I otherwise have fairly normal bowel movements (normal frequency, etc.)

Somewhat confused if this is just maybe a new state of "normal" that I will have?  The symptoms themselves really don't bother me, its the constant thought that I'm teetering on the edge of a full flare that worries me!

I've never really been "sore" down there, which i would think after the enormous amounts and times of bowel movements my rectum would experience some kind of fatigue other than blood. But no, instead i suffer from serious stomach pains ahhh.