Ladies please help me

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Miss UK
Regular Member

Date Joined Oct 2007
Total Posts : 128
   Posted 5/29/2008 2:47 PM (GMT -6)   
This is not a nice question to ask but nothing about Crohns is nice.
I have been put on 75mg of Azaphioprine for the last 6 months.  A few months ago I got what I thought was a urine infection so I had two lots of meds to clear it up.  It didn't clear up and now I have a constant discharge which ranges through all spectrums of brown!! This has been going on for at least 3 months.  It stopped for a week last week and I thought thank goodness but now it's back with avengance.  It's definately old blood as opposed to the other end which I had first feared.  The doctors don't seem to want to help with this.  I'm wondering what if it's not Crohn's related and it's something worse going on.  I've been to the doctors 3 times I'm scared to go again stupid I know but I'm scared I will either be ignored or they will do untold tests. My periods are normal by the way.
Does anyone have any advice or anyone else suffered this I can't find anything relevant on the internet.
Thank you

Regular Member

Date Joined Jul 2004
Total Posts : 422
   Posted 5/29/2008 3:04 PM (GMT -6)   
I've been in a super bad flare this year. Just now starting to get it under control. Because I've been so sick, I've had a lot of "discharge" or "spotting" each month before and after my period. My GYN said this was normal since I've been so sick. When your body goes through SO MUCH with this Crohn's, its no wonder it throws off our other body systems.

So my own personal thoughts on this issue with you is that this is simply "spotting" in between your periods. Spotting can be light or heavy and not really look like your normal period. Talk to your GYN and see what he/she says. Mine was not concerned in the least about it (knowing I've been sick with my Crohn's) and my Pap Smear last month was fine. I've also had no pain or anything like that associated with the spotting either, other than the normal "period pains".
Diagnosed in October, 2004 at age 33.
Current Rx's: Colazal (generic), Nexium (generic), Ferrous Sulfate, One-A-Day multivitamin, Omega-3 Fish Oil, Vitamin D, Vitamin A, Calcium-Magnesium-Zinc, Cranberry pills
Secondary conditions: mouth ulcers, joint pain, swelling ankles, extreme fatigue
Previous/occasional Rx's: 20mg Prednisone taper, Flagyl, Levaquin
No surgeries to date

Regular Member

Date Joined Aug 2006
Total Posts : 443
   Posted 5/29/2008 3:34 PM (GMT -6)   
If you mean a vaginal discharge, this could be a rectovaginal fistula, and the brown discharge may be stool rather than blood. If the brown discharge is in the urine, then it could be an enterovesical fistula (going from the intestines to the bladder). An MRI can be useful in diagnosing either of these.
Metronidazole (Flagyl is the U.S. brand name) can sometimes clear up fistulas, so that might be a good start.

Veteran Member

Date Joined Jan 2007
Total Posts : 3200
   Posted 5/29/2008 6:18 PM (GMT -6)   
I was wondering the same as Writer. I was told that if there is a fistula between the bladder and intestine, you may
sometimes see foam or bubbles in the urine as well. I wish you luck sweetie..

Too many years with CD
Two bowel resections, several obstructions.
Fibromyalgia and recently diagnosed with chronic pancreatitis

Laughter is the brush that sweeps the cobwebs from our hearts

Miss UK
Regular Member

Date Joined Oct 2007
Total Posts : 128
   Posted 5/30/2008 3:28 AM (GMT -6)   
Thanks everyone I'm very grateful for your replies.
The docs said they would send me for a scan of some kind but I've heard nothing since I know you can wait quite a while for these things though.
I'm sure it isn't stool as I've checked it out pretty thorough redface
I really ought to ring them but I keep putting it off hoping it will just go away sad

Regular Member

Date Joined Nov 2007
Total Posts : 106
   Posted 5/30/2008 3:51 PM (GMT -6)   

Hi Miss UK,

I think i am having a similar experiene. Lately either after or before my period, i seem to get a discharge out of the blue. It starts off as just a light discharge and is a brown colour - like old blood (like you get at the end of a period) but then all of a sudden it changes to bright red blood and it gets much heavier like i am in the middle of a period. That usually lasts a day - maybe 2. Then it goes bak to small amounts of browny red discharge again. Plus i am still having a normal period every month as well. It's been going on for over a month now and i know i should ask my doctor about it but i am so scared. And i don't want to find out that i have another problem on top of the crohns. It's funny because i had a smear test a month ago (when i was diagnosed with a hiatus hernia) and they told me it was normal. So i am totally confused with this, not to mention worried!

Does this sound anything like what you are experiencing?

I must correct myself - it was an ultrasound scan i had - not a smear test!

New Member

Date Joined Feb 2003
Total Posts : 15
   Posted 5/30/2008 4:08 PM (GMT -6)   
hi miss uk, reading your post was like i could have written it myself...
Prednisolone managed to get my crohn's into remission back in jan (and now on 75mg of azathioprine) but in march i discovered that i was suffering from a perianal abscess.  My gastro put me on the antibiotic metronizadole (flagyl) and sent me for an mri scan.  3 days after taking the metronizadole I started suffering from massive amounts of watery discharge through my vagina -yellowy/brown in colour.  It didn't hurt but was massively inconvenient -getting through a tampon and a pad every hour.  I went to casualty and they said after taking high vaginal swabs that it was thrush and/or urinary tract infection most prob caused by the metronizadole (antibiotics upset balance of bacteria in your body -both good and bad) so was given another antibiotic augmentin.  it didn't look or feel what you'd normally think of thrush so was very skeptical.  augmentim didn't help discharge at all so tried 2 canesten pessaries 3 days apart -it seemed to reduce discharge a little but didn't sort problem.
Then... i got so fed up with abscess and discharge and generally being in a real state and barely being able to stand up for more than a minute, i went down to casualty for the third time.  Like you, i'm based in UK -our NHS system is fantastic once you get treated but my god, you have to wait a long time.  They admitted me to a ward and i stayed in for a week on iv antibiotics augmentim, metronizadole and my incision and drainage was booked for the following week.  in the meantime, i was given 3 stronger canesten pessaries which i took in 3 consecutive nights before the op.  Now, the day after my abscess was drained, and i finished taking the pessaries the discharge stopped.  I have no idea if this was down to having thrush and the pessaries working or if the discharge was connected to abscess and poss fistula. 
Am so relieved that it's stopped -so fed up getting up every hour of the night and changing pads and pj's, not fun.
My advice is go to dr and get a test to see if you have thrush.  If you do, get yourself some strong canesten treatment or see what dr says.  it took me a couple of goes to clear it up so stick with it (if that's what it was!) -eating live natural yoghurt is also meant to very good.  If not, maybe you have a fistual.  Either way get yourself down to see dr, these things don't cure themselves on their own. I
I know this is rubbish -i hope you get sorted soon.  I'm feeling a million times better now abscess is drained and discharge from vagina gone (still battling with wound discharge -my god we go through it!)

Miss UK
Regular Member

Date Joined Oct 2007
Total Posts : 128
   Posted 5/30/2008 4:56 PM (GMT -6)   
Hi Lila, I'm not sure as mine seems constant and now can you believe I've got another period I only had one two weeks ago.  The discharge ranges from yellow right through to black from light to really thick.  Unbelievable but I'm so glad I posted to hear I'm not quite alone on this (not that I want anyone else suffering from it of course!).  It's an ultrasound I'm meant to be having but I think they might have forgotten about me.  I'm afraid I don't really know what a hiatus hernia is but I do so hope your not in too much pain with it.  I'm sure these things are all related and you don't have yet more problems I wish you the best of luck it's horrible isn't it like just plain old Crohns isn't enough to deal with.
Hi Whaley, wow thats interesting your on the same drugs as me.  No one has even bothered to do any swabs even though I asked if they would they said it wasn't necessary, weird.  Funny but I was thinking I wonder if canesten might help I had thought of just going and buying my own but very expensive if it doesn't work.  I am starting to eat yoghurt again I eat the danone one's but to be honest I don't get much as my 23 month old fights me for it so he gets more than me but now I've read your post I shall buy the live natural yoghurt.  That in mind my fear is ending up in hospital as I am on my own looking after my son.  My goodness you've suffered I had an abcess in the back passage about 10 years ago  (I'm presuming a perianal abcess is the correct term) and wow is that extremely painful! I'm so glad you are sorted now.  When I take the courage to speak to someone about this I'm going to mention what you have said to see if they will do similar for me.
Isn't it amazing how things can affect your body in such a dramatic way that this can happen.  By the way as I have to have blood tests for the azathioprine they noticed I was low in iron so I am now on iron tablets as well as B12.
Thanks so much for replying everyone you've all helped enormously I'm very grateful as it's not a nice subject to reply to good luck to you all!

New Member

Date Joined Feb 2003
Total Posts : 15
   Posted 5/31/2008 1:32 PM (GMT -6)   

please, please, please go to see dr again and get some tests done! worrying about your problem for is much worse than whipping your bits out in front of a dr or nurse (ask for a female) for 2 minutes and they see it all day everday so nothing to be embarassed about. I used to be quite prudish but now that half the medical staff in south of London have seen my bum, I'm over it!

I'm on iron tablets too, they really help give me energy although don't love the black poo! if you get a prescription a course of caneston will only cost £7.10. a nurse also mentioned that a product called biofem is very good for thrush but i haven't tried it myself.

good luck my dear
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