That's what happens to me. I have a lot of inflammation in the rectal area along with a fistula. I pretty much have some degree of pain below the pubic bone all the time. But, when my guts are active, it screams even louder. Pretty much the first half of my day is pretty bad pain. I've got anywhere between 5-10 times a day and sometimes just bloody stuff. If my guts get active again in the evening, the pain is just as bad. I just assume it has to do with the inflammation and then when the bowels have to "work/move" (whatever) that it aggravates the open wounds.
1 fistula, crohn's colitis, limited to large intestine
Compounded budesonide 3mg/daily, Cimzia, MTX . Dx Osteoporosis 10/08 started Forteo 1/27/09