Location of blood on stool - what does it mean?

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killcolitis
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Date Joined Dec 2009
Total Posts : 2396
   Posted 3/18/2010 5:37 PM (GMT -7)   
My daughter (with pancolitis) has been having large hard stools recently. There were sometimes a couple of specks or at most drops of blood on her stool at times (bright red) but they would go away. We figured it was just her colon healing and the poop irritating it. Then yesterday she had a gigantic stool with blood (not much but really too much for me) at the very end tip. It was very fresh, bright red. She went again, no blood really, but there was some on the tp.
Today, another big stool and blood on the end tip.
Does the location of the blood on the end of the poop mean it's the irritation is in the rectum? Is it a fissure?
I'm confused, thought I'd ask the experts. Thanks in advance.

kops2da
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Date Joined Jun 2008
Total Posts : 2865
   Posted 3/18/2010 5:44 PM (GMT -7)   
I have proctitis and was told that if the blood is first coming out that pools in your rectum like overnight or hours before you have the BM.  Mine was always that way and sometimes mixed with lots of mucous and was bright red.  I do not have hemmies.    Then next two BMs were usually ok!
ElaineNY
 
Senior - diagnosed with proctosigmoiditis - 6/2008 Cannot tolerate mesalamines including rectal meds, etc. 
Prednisone for about 5 months - tried 6 MP with no help. 
No prescriptions now except for Cortifoam about once a week.  Now treating only with Imodium and Pepto Bismal and below....
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


killcolitis
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Date Joined Dec 2009
Total Posts : 2396
   Posted 3/18/2010 5:52 PM (GMT -7)   
Thanks Elaine,
Does that mean that the blood comes out first on the stool or is on the entire stool?

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 10592
   Posted 3/18/2010 5:59 PM (GMT -7)   
I don't think you can really use this as a way to telling where the inflammation is. I think any blood is blood and it all signifies inflammation regardless of where it is on the stool. Either inflammation or possible hemmhroids. Would be interested to know what other people think.
March 2007: Diagnosed with mild proctitis - Treated with Canasa (as needed)
August 08 - December 08: Relapse & Anemic - Treated with Asacol (9/day) + Canasa 2x/day
January 09 - December 09: Remission!! Canasa nightly + Asacol (9/day) + Probiotics + Iron
December 09 - January 10: Flare :(
Current: 10mg prednisone, 9 Asacol, Canasa


kops2da
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Date Joined Jun 2008
Total Posts : 2865
   Posted 3/18/2010 6:05 PM (GMT -7)   
Just stating what my two gastro docors and NP told me.  My scopes showed only proctitis but little up sigmoid in one scope.  Every morning first things coming out - on end of stool was bright red blood usually mixed with mucous or separate.  After that no more blood until next day.  They all said the inflammation (open ulcers) were in my rectum as seen on scope and blood "pooled" in rectum overnight.  I never had blood with D during day - only first thing in the morning.  Have not seen that since taking prednisone last summer/fall.  Been ok since tapering prednisone and just using rectal meds.  Sometimes I feel a little pressure, discomfort and I use the rectal meds for a couple days and all is ok.  Keeping fingers crossed.  I don't honestly think UC is ever gone - just "quiet".
ElaineNY
 
Senior - diagnosed with proctosigmoiditis - 6/2008 Cannot tolerate mesalamines including rectal meds, etc. 
Prednisone for about 5 months - tried 6 MP with no help. 
No prescriptions now except for Cortifoam about once a week.  Now treating only with Imodium and Pepto Bismal and below....
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


killcolitis
Veteran Member


Date Joined Dec 2009
Total Posts : 2396
   Posted 3/18/2010 6:11 PM (GMT -7)   
notsosicklygirly,
I'm not sure either, but I know the colour of the blood tells how high up the GI tract it comes from, I don't know about the location.

songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3252
   Posted 3/18/2010 7:06 PM (GMT -7)   
I don't know exactly, either... but if it's bright red, it's from fairly low (which is good) and if it's just on the stool and a puddle or pool, that's good, too....

It does sounds to me as if she's healing, The road there may not be without the occasional detour, but the trend seems to have been positive..... I sure will hope it keep heading that way - !

My old GI used to say that bleeding could be the last symptom to disappear, because if the tissue was healing but still fragile, a hard stool or bit of anything sharp could bring on a little blood.
Age 54. Diagnosed UP 1983, Azulphidine
Diagnosed UC 1986 Prednisone almost 2 years
Asacol - 16 pills/day, cortenemas, Rowasa
Metamucil - 2 doses/day since '86, and psyllium seed powder
VSL#3DS, Multivitamin, Calcium and D, Flax Seed Oil
homemade yogurt each day
Ryzolt for arthritis pain
Son, 16, dx pancolitis 2007

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