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so sore, what does it mean?

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Ulcerative Colitis
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Posted 4/20/2012 12:17 PM (GMT 0)
hi everyone, i have a severe case of UC. I am in remission. I've been in constant rectal pain for two days now. My stools are formed, no mucous, no bleeding, just very painful when emptying. It's sore long afterwards. Could this be the beginning of a flare, I'm hoping it's a fibre issue, really hoping. This is such a mental struggle.
Posted 4/20/2012 12:38 PM (GMT 0)
It sounds like you might have a fissure.
Posted 4/20/2012 12:47 PM (GMT 0)
Or a hemorrhoid.
Posted 4/20/2012 2:12 PM (GMT 0)
You can take a look-see yourself to inspect if there's a fissure or hemmie.

q
Posted 4/21/2012 11:26 AM (GMT 0)
thanks every1 for the replies.
Posted 4/21/2012 4:53 PM (GMT 0)
Hi
I am new to this forum having be hoovering in the background for a while. I have just been diagnosed with UP and am still battling to get it under control. I take 3 x mezevant and am tapering pred from 30 mg by 5 every week and am on 15 at the mo.

Everything seemed to be improving until 3 weeks ago when I started being very sore down there just like you. It hurts when I have a bm and bleeds to turning the water in the bowl red. It also continues hurting for some time after. It also hurts when I am sat on my bum to long. My GP had a look and saw a pile and a red spot but my consultant when I saw him saw nothing and even said he could see no blood or where it was coming from. This has gone on for 3 weeks now and I am at rock bottom.

I don't think this is my UP, it feels so different. I stopped all my rectal meds but the soreness remains.

I wondered to others as I haven't found any info about what it could be. Would be really interested to how you get on with this.
Posted 4/21/2012 7:42 PM (GMT 0)
It does sound like a fissure. I have had a few of them and they are horrible!! They also take quite a while to heal. My GI said the best thing for them are hot baths and stool softners. I tried so many topical creams and none provided too much benefit. It is probably worth using something to protect the area when you use the toilet. Calmoseptine can soothe the area but it doesn't prevent or cure a fissure. Try soaking in hot baths as often as possible. That will promote healing. I tried to look in the mirror to find my fissure and I couldn't see it. Finally I went to the GI and she spread the cheeks and took a look. I thought I had a hemmi for such a long time...
Posted 4/22/2012 7:12 AM (GMT 0)
mlightsonata: i felt compelled to answer this thread since i, too, developed a fissure about 3 months into my remission last year. It is painful as you describe. I advise you to use hydrocortisone cream before each bowel motion to make sure it coats i and heals it. Using vaseline inserted with your finger before each bm helps. Also, adding slippery elm or metamucil to keep your stools as soft as possible.

I don't know why this happens to us UCers; i mean i too had a pancolitis flare and just as i was about to relax and enjoy my life again i got a fissure! now im trying to heal my proctitis which seems to get better during the month until my period then BAM it strikes again!

I would also advise you to use mesalazine rectal meds atleast twice/week. Use mesalazine suppositories as well another 2 days/week. I STRONGLY advise you to do that and make it part of your routine. I wish i had done that before january it may have prevented my proctitis but who knows.

I actually think that fissure i got was the inflammation starting up again, or maybe not. But i think that area needs constant attention since that's where the disease starts.
Posted 4/22/2012 2:34 PM (GMT 0)
My IBD Nurse told me to stop all my rectal meds. I was using predfoam on a morning and asacol sups on a night. She said it was to give my bum a rest as putting these in could irritate it further. I really believe that I should be still using the supps, but daren't start them yet. I really beli9eve that the supps should be used for maintenance of my proctitis but my consultant seems only to use them for flare ups.

Does anyone know if proctitis can also cause the anal canal to become inflammed and ulcerated or does IBD not affect the anus at all. My consultant doesn't seem to know why this is happening to me.

I am taking loads of baths and sitting on a cold pack to try and get some relief.

Mlightsonata = this is the pits. I too feel so depressed and fed up. Its always on my mind. I feel like its taking over my life. I know exactly how you feel.

Post Edited (Mad Martha) : 4/22/2012 8:37:01 AM (GMT-6)

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