New Bleeding from Rectal Exam?

I flared up pretty bad and went to the ER on Friday night, the doc gave me a visual rectal exam (no finger inter ally as I said thats where I was having the worst pain). They did a CAT scan that showed inflammation but no abscess. I was hydrated via IV and prescribed some non-narcotic pain meds (mistake) and sent home to follow up with my GI.

Of course the Tramadol they gave me was simply not enough to help with the pain so I went back to the ER Sunday night, where a different doctor used his finger, quite forcefully it felt like but then again anything in there felt like a great force. They prescribed some better pain meds and I am managing now until I can get to my GI.

Problem now is that I was not having bleeding before, but now I have bright red on the TP, some in the water and it feels somewhat like hemorrhoids, itchy and swollen, and still very tender further up the rectum. I assume this is from the rectal exam, is it possible the doctor should not have use his "manual" approach given how fragile the area was or is this just a standard thing to deal with? Just hoping this doesn't complicate things further.

The doctor didn't really say anything after the exam, which I assume meant he didn't feel anything specific. He just said does it hurt here?...YES...here?...YES...here?...YESSS.

I can't see any fissures, and it doesn't always bleed but there are definitely some small hemmies, which I'm sure where forming from all the BM attempts I had and he probably aggrivated them. I just dont see why he needed to do that exam after I told him the doctor I saw less than 48 hours earlier found no abscess or anything else on the CAT scan and that I just just there because I needed some pain meds that would work.

My GI is out of town until Jan 7th (what do people do during these long stretches of time??) but I am having my Remicade on Thursday and they usually have a doctor there along with the nurses, who all seem more knowledgable and caring than my GI anyway. This will be my 4th infusion so maybe it'll start to right the ship.

I am on 50mg of prednisone, up from 10 before this flare, as recommended by the ER Doc. Now I am functional enough to do a few things that don't require driving.

^^you're implying it was a pleasure. And while you're on a roll, it's increasing in bad taste, however.
q