New Topic Post Reply Printable Version
47 posts in this thread.
Viewing Page :
 1  2 
[ << Previous Thread | Next Thread >> ]

elnino22
New Member


Date Joined Dec 2007
Total Posts : 6
   Posted 2/20/2008 8:49 AM (GMT -6)   
I've been on 5ASA enemas for about 2 months now and it has been wonderful!!  I went out for dinner 4 days ago.  Had a huge salad and some ice cream. Have had D for 3 days and this morning saw some blood.  Have I screwed up with the salad and ice cream confused   or am I still adjusting to the enemas? Thank-you in advance for your advice.

princesscolon
Veteran Member


Date Joined Apr 2006
Total Posts : 733
   Posted 2/20/2008 9:06 AM (GMT -6)   
It could be the food. I think they put something on the salad at restaurants,some preservative that upsets the guts. Add ice cream to that and I would be very sick. I haven't had ice cream in 5 years. I have had a little a few times, I'll admit, and got soo sick.
Diagnosed with Left-sided Ulcerative Colitis 1995 at 15, Tried: Prednisone, Rowasa & Hydrocort. Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Canasa, Enotcort, Colazol, Anamantle, etc... had almost recto-vaginal fistula in 2004, put on Remicade, August 2007:Increased Remicade dosage-700mg every 6 weeks,diagnosed w/ Psoriatic Arthritis & Fibromyalgia Current meds: Remicade 700mgs every 6 wks (had reaction, will start Humira Feb 11) Clorazepate, Proctofoam HC, Glucosamine 500, Vitamin B, Lomotil,  Tylenol pm, Lyrica for Fibromyalgia started 1/17/08


quincy
Elite Member


Date Joined May 2003
Total Posts : 30384
   Posted 2/20/2008 9:19 AM (GMT -6)   
Are you on the enemas nightly?

I don't think it's the salad or the icecream that caused the bleeding...I'd say that you're still in a fragile state and that the increase in bms/ diarrhea has just shown that.

The other possiblity is that you have some inflammation a bit higher than where the enemas treat.

You should also be on oral 5ASA meds...or are you?

Please consider taking probiotics if you aren't already....I do agree that salads in some restaurants aren't cleaned properly or have additives and can definitely upset the flora balance in our guts.

hope you get back to feeling better soon.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!


suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 2/20/2008 9:26 AM (GMT -6)   
I doubt it was the food. And they do not put preservatives in lettuce products any longer. Those products were banned years ago. UC is an unpredictable disease. You could wear youself out tryingt to figure out the cycles of flares and remission!

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


elnino22
New Member


Date Joined Dec 2007
Total Posts : 6
   Posted 2/20/2008 9:29 AM (GMT -6)   
Take probiotics 3 times daily.  No oral meds just enemas nightly. Oh ya about 2 weeks ago was on meds for a throat infection.  Maybe that upset my colon.

princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 2/20/2008 9:32 AM (GMT -6)   
I disagree. In my experience, it could very well be the food that irritated you and caused renewed bleeding. The high fiber of raw vegetables could easily cause a problem and many people have issues with dairy - be it lactose intolerance or casein or just a food sensitivity. Put the two together and you've got a recipe for disaster. You'll find alot of doctors and digestive health books that recommend avoiding raw veggies and fruits, peelings, beans and legumes, nuts, gluten and dairy. All of these things can be difficult for a compromised digestion.
 
Check out the books Listen to Your Gut or The New Eating Right for a Bad Gut for lists of safe foods and potential problem foods.
Diagnosed with ulcerative colitis spring 1999.
 
Therapeutic dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal. Oregano oil antibiotic, antiviral, antifungal.
 
 


Got2Believe
Regular Member


Date Joined Feb 2007
Total Posts : 436
   Posted 2/20/2008 9:43 AM (GMT -6)   
I agree with Quincy in that you are in a fragile state, which means you have to take special precations no matter how big the sacrifice... But on the other hand, my two cents is that I would have to say that Ice Cream is a big NO NO. I have had UC for 3 years now and took notes about how my body reacted with food for about the first 2 1/2 years. And although I eat so much food that makes it hard to figure things out, I did see a correlation to my bleeding and sugar intake. Maybe that is just my body or type of UC, but i thought I'd let you know.
                                                                                         
28/M/TX
Severe Colitis (pancolitis) since January 9, 2005
currently:  I must say Under Control, 1 formed BM/day
RX/day:  2.5mg prednisone every other day
Lost job and insurance 10/2007 and stopped taking asacol and Imuran
(believe me I know my body and do not recommend doing this!!!)
OTC: seldom use VSL#3, vitamins & other natural treatments
Diet: SCD helps tremendously, but am not strictly on it. For Lent I gave up peanuts, sweets, and fried foods...
 


blueclassring
Regular Member


Date Joined Feb 2007
Total Posts : 385
   Posted 2/20/2008 1:30 PM (GMT -6)   
i want to say it is the food. according to the scd diet, the complex sugars could be causing inflammation in your gut and causing you to bleed. i suggest you read it.

for example, if i drink a beer today i'm sure to be bleeding and having diarrhea in a couple of hours.

Mod Note:

[I have modified your signature to remove the request to contact you.  We do not allow dispensing or soliciting of professional advice on the forums.]

Post Edited By Moderator (Admin) : 2/21/2008 9:44:00 AM (GMT-7)


UC Wife in MD
Regular Member


Date Joined Aug 2007
Total Posts : 63
   Posted 2/20/2008 1:40 PM (GMT -6)   
I agree with the food.  My husband couldn't touch a salad or ice cream with his UC.  He would be so sick.  He never had a intolerance to milk before his UC but now he can't touch anything with any dairy in it.  Even probiotics are off limits because they(the ones we have found) have lactose.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 2/20/2008 2:13 PM (GMT -6)   
Maybe you're lactose intolerant??? It happend to me, I found out I was lactose intolerant but it was being masked by my crohns....and there are different degrees of intolerance, maybe the ice-cream alone was enough to set you off for a few days, it's very possible...have you ever been tested for lactose intolerance, if not monitor what happens when you eat dairy (so take a few days of no lactose in your diet, you'll have to read labels, as it's in all kinds of things you'd never suspect like ichiban and some potatoe chips) and then have something with lactose or some actual dairy and see what happens, or just get the test done.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30384
   Posted 2/20/2008 2:36 PM (GMT -6)   
If anyone claims to bleed after eating anything....the colon isn't healed and is in a fragile state....think about it.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 2/20/2008 5:43 PM (GMT -6)   
True, but some foods are obviously more likely to be irritating and/or difficult for an impaired digestion than others.
Diagnosed with ulcerative colitis spring 1999.
 
Therapeutic dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal. Oregano oil antibiotic, antiviral, antifungal.
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30384
   Posted 2/20/2008 5:49 PM (GMT -6)   
And I repeat.... anyone who is that fragile...should focus on that aspect rather than the food.
Understanding that certain foods ingested when one already has an inflamed colon will have certain action on the formation of stool, etc as well as a reaction from the colon being inflamed.    If the colon is working overtime to the point of bleeding...it's not the food, it's the colon. 
 
Some see it as the food....it's not.  Some see it as a big deal...others don't. 
 
Moderation could have made the difference.  Lactose intolerance can set off increased gut reactions...no mystery there.  Shouldn't cause bleeding unless the colon is fragile.
 
quincy
*Heather*Status: mini flare Dec 28... tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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) : 2/20/2008 4:54:10 PM (GMT-7)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 2/20/2008 7:11 PM (GMT -6)   
We are not just addressing the bleeding issues, we're also discussing the D....think about it.
 
Why does every post about food have to turn into such a negative discussion?  There is no proof that food isn't a trigger just go check out the CCFC.
 
 
 
Triggers/ Environment

VIEW IMAGE Disease is not 100% genetic so it requires a trigger
VIEW IMAGE Many theories and investigations into the role of microbes
VIEW IMAGEOther factors could contribute: food, environment etc.
 

:)


My bum is broken....there's a big crack down the middle of it!  LOL  :)

Post Edited (pb4) : 2/20/2008 6:15:09 PM (GMT-7)


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4034
   Posted 2/20/2008 7:43 PM (GMT -6)   
What I don't understand (and what I think quincy is saying) is how could a completely healed colon (inactive UC or at least no ulcers) start bleeding right away as a result of eating something. I could see it affecting an already ulcerated colon or a very inflamed colon soon after eating that food, but I would think if it was all healed up, then just an irritating food passing over it wouldn't cause it to immediately form an ulcer and, as a result, start bleeding. Hopefully that made some sort of sense.
24 years old
Diagnosed with UC March 2007; yet to go into remission
Asacol 4 tablets 3x/day
Rowasa (generic) - daily
Nature's Way Primadophilus Reuteri 1/day; Chewable multivitamin; Metamucil; Viactiv (Calcium and Vit. D)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 2/20/2008 7:50 PM (GMT -6)   
Hemmies (internal) could very well be involved in this case and there is no rhyme or reason to bleeding everytime...there could very well be a single small ulcer causing some bleeding...IBD in general is not cut and dried, there are so many things related to it that factor in...elnino saw "some blood" not a bowl full so it doesn't mean that UC is necessarily rearing it's ugly head either, it could simply be a small internal hemmie(s).

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30384
   Posted 2/21/2008 12:32 AM (GMT -6)   
UC doesn't have a single ulcer....the inflammation pattern of UC is pretty specific.

It's possible that CD reacts differently?

Hemmies are a possiblity as is a fissure...a fissure more probable than hemmies of one doesn't have them.

One can always take a look-see.

No arguments or negative discussion that I see pb4..try not to make more about it than it is.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 2/21/2008 12:48 AM (GMT -6)   
Kinda hard to see an internal hemmie especially if it's a small one, which can cause enough noticable blood.

No research has proven either way if food is a trigger or not so it's unfair for anyone to be so dead-set against saying it has nothing to do with food at all based on their own experiances only...IBD is a very individualistic disease in many ways including which foods do or don't bother each person.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 2/21/2008 9:39 AM (GMT -6)   
Sara14 said...
What I don't understand (and what I think quincy is saying) is how could a completely healed colon (inactive UC or at least no ulcers) start bleeding right away as a result of eating something. I could see it affecting an already ulcerated colon or a very inflamed colon soon after eating that food, but I would think if it was all healed up, then just an irritating food passing over it wouldn't cause it to immediately form an ulcer and, as a result, start bleeding. Hopefully that made some sort of sense.

That's right. And Quincy is right. A "normal" person with a healthy colon is not going to start spontaneously bleeding from the rectum when they eat an offending food. I'm sorry if my post gave that impression.
 
Anyone who's in a flare - and if you're taking daily enemas like the OP, you're not in "remission" and you don't have a "completely healed colon" - can have bleeding (or other symptoms such as pain and diarrhea) triggered by eating an offending food. On the other hand, if your colon is in a delicate condition, in the process of healing, and you follow a careful diet of foods you know are easy for you to digest, then you have a better chance of avoiding stirring things up to the point of bleeding.
Diagnosed with ulcerative colitis spring 1999.
 
Therapeutic dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal. Oregano oil antibiotic, antiviral, antifungal.
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30384
   Posted 2/21/2008 12:00 PM (GMT -6)   
totally makes sense to me.

q
*Heather*Status: mini flare Dec 28... tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 2/21/2008 2:00 PM (GMT -6)   
pb4 said...
Kinda hard to see an internal hemmie especially if it's a small one, which can cause enough noticable blood.

No research has proven either way if food is a trigger or not so it's unfair for anyone to be so dead-set against saying it has nothing to do with food at all based on their own experiances only...IBD is a very individualistic disease in many ways including which foods do or don't bother each person.

:)

I had several internal hemmorhoids for quite some time apparently and had NO idea until my doctor did a scope and told me about them.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of spine from long term prednisone use

Current Meds:
10mg Lexapro (for depression/social anxiety)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
10meq Potassium
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 2/21/2008 2:03 PM (GMT -6)   
Well I'm glad Q that you agree there are "offending foods" that can contribute to ones flare for many people...I've never noticed foods making a difference to me one way or the other but that doesn't necessarily mean that food cannot trigger flares for many others.

And for many, it does seem that salads and dairy, fruits and veggies in general cause alot of grief for IBDers that do notice they have isssues with worsening a flare or even bringing one on.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17682
   Posted 2/21/2008 2:20 PM (GMT -6)   
Hi!  I'm assuming you have had a colonoscopy.  The reason I'm saying that is that I was diagnosed with ulcerative colitis for 11 years.  Then the bleeding started.  I was on the prednisone enemas, medication, stayed away from roughage but to no avail.  Then I had a colonoscopy.  I really had Crohn's disease!  So, if it isn't a definitive diagnosis, then maybe that's a step to take.  (This also happened 20 years ago.  I'm sure much has changed but just felt I needed to mention that.)
 
Sherrine


Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7

Post Edited (Sherrine) : 2/21/2008 1:24:26 PM (GMT-7)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 2/21/2008 6:51 PM (GMT -6)   
ediekristen :)

Exactly, that's my point, it's not always a given to where bleeding is comming from.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30384
   Posted 2/21/2008 8:56 PM (GMT -6)   
pb4 said...
Well I'm glad Q that you agree there are "offending foods" that can contribute to ones flare for many people...I've never noticed foods making a difference to me one way or the other but that doesn't necessarily mean that food cannot trigger flares for many others.

And for many, it does seem that salads and dairy, fruits and veggies in general cause alot of grief for IBDers that do notice they have isssues with worsening a flare or even bringing one on.

:)

 
Well, you know how I hate for you to be disappointed in me, but I didn't say I agreed to foods causing, triggering or contributing to a flare.   That's not what I read into princesa's posting.   If you're in a flare, the friable mucosal layer will be shed/shredded/opened..whatever term..even without food.  The very fact of bms going over the tissue, especially if they're formed will cause the tissue to bleed. 
 
I can play word games again, for poo itself is a product of food...I know you and I are completely on opposite pages regarding this issue.  Flaring is flaring to me...varying degrees of inflammation (that many patients don't even recognise because it's not extreme enough).  I don't believe in one day flares or  being in remission and then one day not.  Food won't make or break a remission. 
 
Inflamed to the point of being friable or bleeding means it's delicate and fragile and it's in a more advanced form of inflammation.  The food focus/symptoms affect  comfort on a physical level and reassurance on an emotional level. 
 
If one has hemorrhoids...that's easily checked by a look-see by a doctor rather than having to guess and blaming it on food.
 
Know what one is dealing with, 5ASA meds take time to do their thing...but UC flares don't heal overnight.  Inflammation is inflammation....and if foods cause more action in the colon, it makes sense that the inflamed colon will react.  Remember, it overreacts anyway.
 
quincy
*Heather*Status: mini flare Dec 28... tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!

New Topic Post Reply Printable Version
47 posts in this thread.
Viewing Page :
 1  2 
Forum Information
Currently it is Saturday, April 21, 2018 3:35 PM (GMT -6)
There are a total of 2,954,026 posts in 324,069 threads.
View Active Threads


Who's Online
This forum has 162131 registered members. Please welcome our newest member, MimiWest.
280 Guest(s), 7 Registered Member(s) are currently online.  Details
diannega, chikinnooodle, Dharmacolm, Pratoman, NiceCupOfTea, Old Mike, Szabo246