Posted 8/20/2007 8:38 PM (GMT -8)
Thanks for the input. I look forward to seeing my GI doc again tomorrow to see what he has to say. (But I hope I escape another rectal exam...ouchie!) He has previously said that if I wasn't pregnant he would up my Imuran a little bit more, and maybe we'd try Remicaid, but since I AM pregnant those things will have to wait.
Like some of you mentioned, when I've had any rectal bleeding before (it was usually just a little bit on the TP or a drop in the bowl), I thought it was hemmies and didn't think much of it. At my last exam my doc said that those things I thought were external hemmies are actually Crohn's skin tags from anal involvement, and he found similar things internally by doing a rectal exam. So my bleeding doesn't seem to be from hemmies; I wish it was, then maybe I could get something over the counter to help! It's definitely unlike hemmies in that I really don't strain or have any pain with this; I'm just going to the bathroom as normal, and then I look down and the bowl's got so much blood I can't see to the bottom. The painlessness and relative lack of other symptomology is part of what makes it so disturbing and shocking to me.
Maybe it could be a fissure? Are those usually painful? I'm losing bright red blood, including clots, but no other symptoms to go with it. I have been traveling around the country this week, which is always stressful for me and my body, so maybe that has contributed to all of this.
As for baby, I think she's doing fine; she's been as ever over the past few days. (She's been quite the acrobat all along--she was moving and grooving by ten weeks, as we saw on an early ultrasound, and boy can I feel her now!) My GI doc and OB doc keep in pretty decent contact, so I'm sure after I see GI doc tomorrow I'll hear from OB doc if he wants to talk to me about anything. Last time they just monitored my hemoglobin until the bleeding stopped.
Thanks again for all the words of wisdom, and I'd appreciate anything else anyone has to offer, especially regarding what the symptoms are fissures usually are. (And could they be exacerbated by pregnancy? Certainly my bowel and rectum are under greater pressure now.)
I'll check back in to let you all know what doctor says too.