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Weird BMs, how do I streamline?

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Ulcerative Colitis
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Posted 2/4/2013 12:37 AM (GMT 0)
Before I begin, apologies for graphic details of the post. I have tried my best to reduce graphic nature of these details.

Since thanksgiving, I am in flare but since I am participating in a clinical trial, GI wants me to use Hydrocortisone and mesalamine enema. She suggested that I taper after a month but I did not because as I start tapering, blood appears in the stools. So currently I am using both 1X a day.

Now for 3 weeks or so, my BM routine has worsened. I feel constipated, at the same time, the urge to use restroom is very similar to the one as you are in full blown flare with mucus and blood. Only in this case, there is no blood or mucus but regular stool (flat stripes, hemmis ruled out). I really have to push it out and that hurts like hell. I feel like, I am going to see blood on the toilet paper but there is no blood. My intestines are pretty much gas chambers (but no tummy ache). This situation is worsened by twice daily administration of enema. The anus is so irritated that I am living on local anesthetic (otherwise I simply can not sit on the chair). I am using restroom at least >15X a day. More than 80% of the times, majority of the passing is just gas with very little stools.

I was not using any (external) fiber like psyllium seed powder or Miralax with the fear that it will worsen the flare (by abrasing the intestinal walls). Since yesterday, I started Miralax and psyllium seed powder in small amounts, hoping it will streamline the BMs but so far no effect. I am not really sure if I can do anything.

Anybody has any idea? Thanks in advance.
Posted 2/4/2013 12:45 AM (GMT 0)
http://www.amazon.com/Technology-2000-h100m-Hemorr-ice-Hemorrhoids/dp/B000V90LOA/ref=sr_1_17?ie=UTF8&qid=1359938557&sr=8-17&keywords=hemmoroid

I have two and will use them back to back 2 times a day when I have proctitis. I put coconut oil and a spritz of collodial silver on it just for grins and giggles ;)
Posted 2/4/2013 2:39 AM (GMT 0)
Delta, sorry to hear about the symptoms. Is there any diet modifications you can make for the time being? Dairy or wheat free? Have these helped in the past?

Can you rule out stool testing - bacteria overgrowth or anything that could be exacerbating symptoms to this degree?

What I can offer you is this pretty effective supplement I've been taking:

Inflaguard (comprised of turmeric, boswellia, and devils claw)

and these suppositories www.rockwellnutrition.com/wise-woman-herbals-supplements-suppositories-2-12-count.html
I've tried Canasa and butyrate suppositories in the past with no luck.

I guess I would avoid anything that could stir up things in your body like changes in probiotics or cleanses, instead focusing on anti-inflammatories.
Posted 2/4/2013 3:05 AM (GMT 0)
Also, since you brought up miralax and psyllium, this product really helped me when nothing else seemed to
http://www.amazon.com/Aerobic-Life-Oxygen-Cleanse-capsules/dp/B00014H7GA/ref=sr_1_1?ie=UTF8&qid=1359947079&sr=8-1&keywords=mag+07

I have to take this with lemonwater or Apple cider vinegar or it doesnt work since I have a low acid problem.
Posted 2/4/2013 4:01 AM (GMT 0)
The only thing that ever helped my similar symptoms was diet mod.
Eliminating gas = removing dairy and fruit for me.
To help pass BM's I suggest taking more oil (olive, coconut) and no fiber if possible.

It's not an easy thing to fix and I hope you can feel better.
Posted 2/4/2013 12:29 PM (GMT 0)
Thank you for all the replies. I don't think I have hemorrhoids per se but the symptoms are similar, most likely as a result of strenuous defecation. There is no external sign of hemorrhoid so I suspect, may be its internal.

@ Pathogenkiller,
Thanks for the link. I will look into it. The MagO7 link that you posted, raised a lot of suspicion. I have no clue what ozonated MgO is and if their explanation is indeed true then actually I will not use it at all, under any circumstances. The reason is, nascent oxygen is a very powerful oxidant. We UCers have no clue the status of intestinal walls from outside. If you have lesions on the wall, these nascent oxygen species can wreak havoc. When it comes about killing bad bacteria by making hostile environment, it will kill everything. I will just continue with probiotics to take care of that stuff. I am sure, I do not have C.diff (BMs or gas do not have any different odor).
I am taking Mg-Citrate 400mg daily so the laxative effect by Magnesium is well taken care of. Thanks for pointing.
I am taking Miralax and Psyllium seed powder just to give some bulk to the stools.

@ stereo,
I am already gluten and milk free for a while. Milk free for about 2 months and gluten free for 3 weeks. I have Boswellia only but no effects but you never know. I may have some cumulative effect if taken together. I will look into both the products you have mentioned.

@imagardener2,
Honestly, I am eating so little that I must have lost some weight. I am just scared to use restroom so I am just eating soups. I am eating regular fruits though, banana, grapes etc. I will consider eliminating that stuff too.


Out of desperation, yesterday night I started using Scheriproct (http://www.drugs.com/international/scheriproct.html) and Prednisone showed a quick effect. Hopefully that will give me a couple of days till I get to talk to my GI.

If anybody else suffered from hemorrhoids and found some solution, not already mentioned in this thread, would love to hear.

Thanks again.
Posted 2/4/2013 3:56 PM (GMT 0)
Hi..sounds as though the inflammation is limited in the rectum. How much have you improved since starting the two enemas?

When you were tapering...what was the process?

Did you stop the fish oil?

Are you on any probiotics?

This has sure been a long haul for you...

q
Posted 2/4/2013 4:16 PM (GMT 0)
Ahh, see Im stoked about nascent oxygen. Id buy ozonated water if I could to flush out bacteria. Glad that the other laxatives are keeping you moving.

Post Edited (PathogenKiller) : 2/4/2013 9:19:19 AM (GMT-7)

Posted 2/4/2013 7:21 PM (GMT 0)
@ Quincy,

As far as I can guess, I am out of flare but the appearance of blood made me think that I am not. I was told to taper in standard method, first every alternate day then every 3 days and then one a week. But I never went for tapering because of the blood. I started tapering today and will see how it goes in a week. Will continue with Scheriproct.

I did not stop fish oil. I am on Benebiotics and half sachet of VSL#3 DS every day.
Posted 2/4/2013 7:51 PM (GMT 0)
http://en.wikipedia.org/wiki/Oxygen_cocktail

As a side note, I came across an oxygen drink therapy they do in Russia..
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