how to know if bleeding is bad?

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jodyisme
Regular Member


Date Joined Dec 2006
Total Posts : 70
   Posted 9/27/2007 5:48 PM (GMT -7)   
yeah, its me with another question. :)
 
my husband with crohns, the one who wont take his meds or quit drinking, has been bleeding with his BMs again. i only know because he will forget and i can find it all over the toilet. bright red spatters. he has no internal hemmorhoids...and he is going a lot again so obviously he is in a flare again. i would say maybe 10 times a day? last time he was having bleeding, was when he had his colonoscopy and the pred and all. he wont go back for that again.
 
not that he cares, but i wonder how does one tell how much is too much blood? i read some talking about GI bleeds ---how does one know the diff between plain "some" crohns bleeding (which is never "plain", i know) and something even worse?
 
i would hate to find him passed out or something some day...
 
tyia* appreciate the replies and any views.

Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 7077
   Posted 9/27/2007 8:54 PM (GMT -7)   
It's pretty difficult to tell how much blood someone is losing from the GI tract without doing some testing. A blood test will show his blood level which would indicate how much he is bleeding.

I don't know where your husband's CD is located but I can tell you that bright red blood means the bleeding is coming from very far down in the colon or externally from hemorrhoids. If he is going frequently, he might have external hemorrhoids or a fissure that are bleeding due to irritation. Then again, he could have a problem inside somewhere.

Your husband sounds like he is in denial and possibly somewhat self destructive. Is there anyone that he respects that he will listen to? Would he consider going to counseling? I wish I could offer you better advice. I know you must be extremely worried and frustrated....
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?
 


jodyisme
Regular Member


Date Joined Dec 2006
Total Posts : 70
   Posted 9/27/2007 9:24 PM (GMT -7)   
its very difficult to know how much is lost...i understand that.
 
his one and only colonoscopy showed crohns (altho they first dxed him with UC) in his large bowel. no hemmies. the ulcers were bleeding then. when he began to choke a lot, they did a endoscope and found the stomach was covered in ulcers so they did a P blood test and it was positive for crohns. he also has joint issues now and some vision problems. as far as the last and only tests showed, it was not in his small bowel.
 
i realize i guess i want answers that cant be had. it could be a fissure, as im pretty sure he doesnt have any hemmies. he seems to be pretty "medicated" against pain so even if he has any, he wouldnt know it. he is either drinking or asleep. i feel he is depressed from retirement...
 
i guess i wondered if there were any other symptoms that might come with a GI bleed of bigger proportions than what he is doing right now.
 
since he is seldom sober, i guess im asking for something no one can know. dizziness wouldnt work...he wont go to the dr for any counts or tests unless he is forced thru a ER. his dr (family practice) seems to refill the old rxs .....i guess she figures on something is better than nothing. his gastro said he wouldnt treat him further and no doubt would see him in the ER sometime.
 
obviously his flares up...any progression we cant or wont know without tests.
 
i think im just scared something is happening and i dont want to find out the hard way with needing a ambulance for him sometime.
 
i do know he is back drinking mylanta again so i guess the nexium isnt working well any longer since he takes it so sporadically. these meds seem to lose their helpfulness when not taken regularly.
 
have you ever seen a stomach with crohns? ouch.
 
i would guess bleeding from the rectum area wouldnt be life threatening--since its not from higher up----?
 
appreciate the reply...:)
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