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Constipation and blood

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Ulcerative Colitis
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Posted 7/8/2014 12:11 PM (GMT 0)
Usually when I flare I'm constipated and I have to go to the bathroom few times a day to pass gas, blood and mucus, from now and then I have small pieces of poo, maybe once a week a real bowel movement.

However, this flare is different because it's been mostly D & Blood less mucus, or maybe I do see the mucus because it mixed with the D.

I was really getting out of it but now it back. Belly swelled bad, gramps ect... But it back with the constipation.

My question is why sometimes the D and others times the constipation ? By the way my UC is mostly proctis and 15 cm long. Would the D be when the flare is higher up ?
Posted 7/8/2014 2:49 PM (GMT 0)
Not necessarily. You can have D while constipated and it can mean that it is just stool that is backed up finally getting past the harder stool blocking it. The best thing I have found to keep my sanity with this issue is to always be on metamucil and adjust the dose upwards slowly to reach a point when I feel I am having more full and formed bms then adjust down to more comfortable dose when my flare is more subsided. But the key is to always be on it as inflammation and constipation go hand in hand.

With regards to the proctitis itself find an affective suppository and make sure its at least 1g. i use the salofal one currently which has helped alot. The only problem is I keep going back to a crappy diet when things settle down whereas I should be more disciplined. Keep up the fight. Rememer no point treating the constipation unless you are using rectal meds otherwise the cycle will keep repeating
Posted 7/8/2014 3:31 PM (GMT 0)
Since your proctitis goes up to 15 cm, I would suggest a combo of suppository and enema. The suppository won't get all the way up to 15cm but the enema will. Enema in the evening and suppository in the am after morning bathroom trips are over.

What meds are you currently taking?
Posted 7/8/2014 6:08 PM (GMT 0)
While one can have diarrhea with constipation, I doubt that's your issue since your symptoms have changed/progressed.

You're flaring, obviously....for sure ask for the enemas and not only rely on the suppositories to deal with the rectal inflammation.

I would also say it encompasses all of the 15cm and maybe more.

Have you used enemas in the past?

q
Posted 7/9/2014 3:21 AM (GMT 0)
I have been using Salofalk enema and suppositories since November. I keep on getting better when my hopes are high up then the flare wakes up again.

It is like this monster in my gut called flare, sometimes falls a sleep... When I almost forget about it and pull out my normal clothing and put a way my almost I'm pregnant ones, it comes back.....

My GI is on vacation until the end of July. I will have to get her to talk to me more about my options or tell me how she sees things. Because, she usually only gives me the RX and doesn't have much to say other than It's the proctitis.

Well last time the GI wasn't available my family Dr. prescribed me cortisone enema. But when I saw my GI 5 days latter she said no kept the Salofalk only.

Do you believe I should try one cortisone enema in the morning and one Salofalk enema + suppository at night ?

If I do so how many days can I take the cortisone enemas before I tapper them down ?

How many days to see an improvement with cortisone enema if they work for me ?
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