Hi...this is just a general soapbox info session/rant/preach....
location mostly determines the symptoms. Since UC inflammation of a flare starts at the lowest part of the rectum...symptoms will not be as noticable because they aren't usually the norm that patients have labelled as a flare. The symptoms could be bloating, stomach discomfort, excess gas felt a lot in the rectum, constipation (subjective) with smaller, harder or scant bms. More mucus can be seen around the bms or even itself during evacuation.
As the inflammation continues (either upward or remaining depending on the limitation of the UC), the symptoms can change to more mucus and gas, pastsy, pencil/thin stools, more cramping, frequency, urgency and pain upon bms.
High in the rectum inflammation can start to present looser stools, sometimes somewhat less gas but more cramping, urgency, frequency, and that nice razor feeling upon bms...yeeow!
As the inflammation continues upward, the stool tends to be evacuated more quickly...so, a tendency for diarrhea, spasming....etc seems to be noted. I have less gas with diarrhea but more spasming. Definitely the raw butt syndrome comes into play and then there are other discomforts to deal with.
As the colon heals, it's usually from top to bottom based on the meds one takes it seems.....so, the symptoms will tend to go backwards with constipation and more discomfort of the stomach and with gas.
Rectal meds are really important from my perspective (and experience)...regardless of how high the inflammation goes because the rectum will always be involved.
I've not heard of constipation UC...but it makes sense if the inflammation site is very low and remains limited. That form is extremely difficult to deal with from what I've read.
Some with low limited site inflamation can also have cecum involvement....and if one's case is very stubborn and only dealt with rectal meds, the cecum gets left out of the treatment. If it's inflamed, the rectum will continue to be no matter how many rectal meds are given.
Not that this is written in stone (as per pb4..there are always exceptions or misdiagnosis or other things going on as well)....but there are some basics of UC's pattern of inflammation that seem to continue to be left out of the equation. It might help to realise that when starting a flare so that it can be treated early.
I haven't mentioned bleeding, because although it's a classic symptom, it shouldn't be the first one we wait to see. Once it starts to happen, the fragility (friability) of the tissue is in a progressed state.
Many doctors also use bleeding as a criteria of importance and ignore patients until they get to that point to take it seriously. A huge neglect.
While my points may not be taken seriously ....they are about
as basic as can be regarding urgency toward early treatment. And in early treatment, patients have their own freedom to increase and decrease according to needs. That gives freedom and lowers the distress. The bonus of it is that their UC has less potential to spread upward.....and flares should be less serious as the years go by.
Again, not that it's written in stone, but it's a good chance of having things (flare/remission process) still going well looooooooooong after the predetermined 10 year mark of doom and gloom some doctors preach/threaten.
OK....soapbox put away.
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!
Post Edited (quincy) : 1/1/2008 3:10:08 PM (GMT-7)