blood: how do i know if it's a flare or a hemorrhoid?

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hekela
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Date Joined Nov 2006
Total Posts : 731
   Posted 2/8/2008 4:11 PM (GMT -6)   
i'm not bleeding.

but with my first pregnancy, i had very small amounts of blood from 3 months on and my OB was sure it was internal hemmis. (at the time i had not been diagnosed with UC and the only other problem was skinny poo. no pain, no urgency etc)

so i don't want to panic if i start bleeding this time, but i don't want to ignore a possible flare.

any ideas??

thanks!
28, happily married, stay at home mom to 2 year old son. due to have baby #2 9/17/08
UC (probably pancolitis, but no c-scope yet), diagnosed June 2006, started having major symptoms sometime in January 2006, about 3 months after childbirth. 2nd flare (minor) may 2007 after taking caprylic acid for 2 weeks.

-Prednisone 8/28/06-2/28/07. and again may '07, 8 week course.
-Asacol, probiotics, ground psyllium husk, fish oil, prenatal

may you live all the days of your life.


tjf
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Date Joined Dec 2005
Total Posts : 3238
   Posted 2/8/2008 6:25 PM (GMT -6)   
I have only had a couple of hemmies. They way I know it is hemmies instead of a flare is I am having 'normal' bms but bright red blood on the tp after I wipe. I usually have some rectal pain as well. Tender to the touch when I wipe.

Congrats on the new baby! Keep us posted!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

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Co-Moderator UC Forum


GardenerJames
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Date Joined Jan 2006
Total Posts : 616
   Posted 2/8/2008 8:02 PM (GMT -6)   
Aloha Hekela,
I am, unfortunately, a bit of an expert on hemmies. I've had internal and external hemmeroids and I guess the difference between the blood with them vs a flare is the quantity and amount of blood that came out of me.
With external hemmies (the ones that protrude and are itchy or painful) I had a little blood on the tp. With internal hemmies, the blood actually kind of squirted out of me when I'd try to go to the bathroom, whereas with UC the blood was kind of mixed into everything and turned the whole bowl red. Probably if everything else is ok or normal, so to speak, you're experiencing a hemmeroid, but if you have other symptoms I'd say it's probably a flare.
James
Asacol 4 tabs 2x daily www.myspace.com/gardenerjames
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Sherman Tank
Regular Member


Date Joined Jan 2008
Total Posts : 34
   Posted 2/8/2008 9:51 PM (GMT -6)   
Oh the joys of differenciating between UC and Hems. I have both and internal Hemmeroids are more difficult to diagnose. If there isn't any mucus and the blood is bright red/fresh than its probably Hems, not your UC. Also- at least for me the H is further down and thats where I feel it- painfully- as the BM goes through, then the Hm drips freely, especially when it is bad.
Good Luck.
Diagnosed proctosigmoiditis/ UC 2004
Misdiagnosed with just Hemeroids since I was 12!!
Bad flare after birth of first son in 2004,
another bad flare pregnant with 2nd baby summer 2006
recent reallly bad flare Dec 2007- 1st time w/ prednisone
Just tapered off Jan 20,2008, Flaring again today :(
Asacol for last 4 years 3pills 2X's, ROWASA as needed up to 3X's a day,
now just Asacol 3X's a day, probiotics 2X's, fish oil
Tryed-acupuncture, herbal remedies


cycling_sasquatch
Regular Member


Date Joined May 2007
Total Posts : 169
   Posted 2/8/2008 9:54 PM (GMT -6)   
And a hemmie usually produces a streak of blood on th stool (if firm) for me.
Dx Left-sided UC Dec. 2006
Currently:
Azathioprine 200mg/day
Prednisone 2.5; 7.5; 10/7.5mg(trying to taper-started at 60 6/1)
Lialda 2/day
Multivitamin, B complex vit., fish oil, calcium, fiber supplement, probiotic


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 2/8/2008 11:22 PM (GMT -6)   
What my GI told me is that dark red/black blood means its coming from high up in the the digestive system and bright red blood is usually hemis.
Good luck! Hemis are the WORST!!!!
Sam
Diagnosed in September 2004
In remission since January 2006
Currently on Asacol, amitriptlyine, ortho tri-cyclen lo, some immodium
"If you don't like it, change it. If you can't change it, change your attitude"
Maya Angelou


hekela
Veteran Member


Date Joined Nov 2006
Total Posts : 731
   Posted 2/9/2008 2:19 PM (GMT -6)   
thanks all!! hopefully i won't see blood at all! :)
28, happily married, stay at home mom to 2 year old son. due to have baby #2 9/17/08
UC (probably pancolitis, but no c-scope yet), diagnosed June 2006, started having major symptoms sometime in January 2006, about 3 months after childbirth. 2nd flare (minor) may 2007 after taking caprylic acid for 2 weeks.

-Prednisone 8/28/06-2/28/07. and again may '07, 8 week course.
-Asacol, probiotics, ground psyllium husk, fish oil, prenatal

may you live all the days of your life.

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