How do I know it's a flair?

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LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1190
   Posted 3/13/2008 1:11 AM (GMT -7)   
I was diagnosed with Non Specific Colitis last October and was put on Asacol 2 x 3 a day. (6 tablets a day). My symptoms were rectal bleeding and a slight increase in frequency of bowel movement from 1 a day to 2 or 3 a day.
 
I stopped bleeding a week after taking medication and God Willing still haven't blead again since. However, I am worried about my bowel movements, sometimes it's one a day, mosty it's 2 but yesterdday it was 3!!
 
I have been consuming lots of tea lately with 2 spoons of sugar each time and eat other sweet stuff but I need to do that to keep up my weight which I am finding hard to increase although I am not losing weight.
 
Can people help with knowing whether I am in a flair? Is the soft but well formed stools a flair? Is the soreness down there a flair? Or am I thinking too much and bringing it on myself unduly?
 
I feel 100% fine in myself otherwise. (Apologies if my symptoms are trivial compared to others).

Diagnosis in October 2007: Non Specific Colitis (Mild inflammation on Rectum, Plus some patchy inflammation on Right and Left side of Colon). Symptoms started after a bout of anti-biotics.                                 

Medication Prescribed: 800mg Mesalazine (Asacol) 3 times a day  

Symptoms: One or sometimes two BM's a day often linked to anxiety and stress (IBS). In remission since October - after 4 days of meds. Stool colour often light in colour but well formed and urine often dark or yellow.


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23551
   Posted 3/13/2008 3:40 AM (GMT -7)   
It could be that your diet is making you a bit more unregular. Usually if you notice any difference in bowel habits then you could be heading for a flare. Try not drinking so much sugared tea and see if that helps. Some of us never have solid bms again and are in remission so using bm consistancy isn't really a guideline - though it can be because it's individualistic. Same with the pain. When you learn to know your body you will recognize a flare early on. Keep an eye on your bms and frequency. If it becomes more noticable then its probably a flare. How long have you had an increase of bms?

And never apologize for something you think is trivial. If you feel it's important enough to bring up then it's important enough to get answers :)
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quincy
Elite Member


Date Joined May 2003
Total Posts : 30078
   Posted 3/13/2008 11:46 AM (GMT -7)   
Hi LR....it could be a flare. You could add a probiotic to see if that helps.

Are you eating properly as well as your sugary snacks?

I think that you should really be on a rectal med to help with some of the symptoms you're now experiencing. Please consider them.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th 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 ....zymactive 3 - 5x 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 !!!


marty1976
Veteran Member


Date Joined Nov 2005
Total Posts : 2045
   Posted 3/13/2008 12:59 PM (GMT -7)   
I wouldn't say that one or to wxtra BMS would mean that you are heading to a flare but it is worth watching.If you start having maybe 4/5 daily for a few days and maybe pains Or D or increased mucous then that would sound more flare like.Hopefully things will get back to normal soon.I agree with Quincy that a good probiotic is a good help and cutting down on sugar is a always a good thing.
Good Luck
Marty
                                     keep the faith 

         asacol/proctifoam/Zoton (lansoprazole)/pred/colofac


       
            http://www.myspace.com/martybuzz1<FONT]


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1190
   Posted 3/13/2008 1:13 PM (GMT -7)   
I had 2 BM's today, all I am saying is that pre colitis I had 1 a day.. now I have on average 2 a day or sometimes 1. It is no big deal and the urgency isn't great. I never get D and never get any pain - just soft well formed BM's twice a day. As I said my symptom was blood and that has not reappeared and I don't get mucus or anything like that.

What was concerning me is that I can't seem to get my BM's down to 1 a day and this annoys and worries me. It might be because I am constantly all day thinking about my a*rse (lol) and my BM's.


Diagnosis in October 2007: Non Specific Colitis (Mild inflammation on Rectum, Plus some patchy inflammation on Right and Left side of Colon). Symptoms started after a bout of anti-biotics.                                 

Medication Prescribed: 800mg Mesalazine (Asacol) 3 times a day  

Symptoms: One or sometimes two BM's a day often linked to anxiety and stress (IBS). In remission since October - after 4 days of meds. Stool colour often light in colour but well formed and urine often dark or yellow.


malka
Regular Member


Date Joined Apr 2006
Total Posts : 171
   Posted 3/14/2008 6:28 AM (GMT -7)   
Following advice found on this forum months ago, whenever I am not sure but worried that I might be starting a flare, I drink a tea made from boiling two cinnamon sticks in a few cups of water. Apparently cinnamon reduces inflammation. It seems to help me and is worth a try since it doesn't do any harm. Furthermore, it tastes good - always a selling point, as far as I'm concerned.

M
Diagnosed UC 1975. 
Azulfidine Entabs 500 mg. 4 twice a day
Azathioprine 100 mg per day
Colocort - as needed
Folic acid, vitamins C and D, multivitamin, metamucil, fish oil, turmeric 
 
Hospitalized 1997 - intravenous cyclosporine.


disco
Regular Member


Date Joined Jan 2008
Total Posts : 154
   Posted 3/14/2008 6:43 AM (GMT -7)   
I think your lucky, I can go 6-10 times a day during a flare.

I usually associate a flare with bleeding and weight loss personaly.
Diagnosed in spring 2005 at age 28
Currently on 12 asacol pills a day + Entocort


quincy
Elite Member


Date Joined May 2003
Total Posts : 30078
   Posted 3/14/2008 9:05 AM (GMT -7)   
disco...a flare with bleeding and weightloss is already in the serious range.
There are many symptoms to be noted long before that..a time to definitely start the rectal meds.

LR..are you doing better today or worse?

q
*Heather*Status: mini flare Dec 28... tapered to every 4th 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 ....zymactive 3 - 5x 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 !!!


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1190
   Posted 3/14/2008 1:16 PM (GMT -7)   
Thanks for the advice guys.
 
I have been once today and I don't know if I will go again, there are still a few hours to go in the day. I am trying to track down what makes me go twice a day as opposed to one. Its difficult because I also suffer from IBS and anxiety and they almost always make me go.
 
The other thing is I feel is a soreness in my butt all the time but only when I am thinking about when I will go again. Anxiety+Colitis is a killer for me.
 
I am not bleeding, I have no D, and I go maybe twice a day... I guess I should just get on with my life and feel lucky compared to many people on here. Thinking about it all day is not helping me...
 
I wish God gives us all good health. Amen.

Diagnosis in October 2007: Non Specific Colitis (Mild inflammation on Rectum, Plus some patchy inflammation on Right and Left side of Colon). Symptoms started after a bout of anti-biotics.                                 

Medication Prescribed: 800mg Mesalazine (Asacol) 3 times a day  

Symptoms: One or sometimes two BM's a day often linked to anxiety and stress (IBS). In remission since October - after 4 days of meds. Stool colour often light in colour but well formed and urine often dark or yellow.


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 3/14/2008 1:19 PM (GMT -7)   
2 times a day? No blood? No d? I'm not following....I think you may have an unrealistic expectation of getting down to 1 time a day. Why do you feel like you need to go 1 time a day? Just curious.
Tabitha (Tab)

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

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jc_ferrero
Regular Member


Date Joined Dec 2006
Total Posts : 89
   Posted 3/14/2008 8:16 PM (GMT -7)   
Even 3 movements a day is considered within the normal range for a healthy person. Just stop thinking about your condition and the reduced stress levels will keep you in remission for longer. I always know a flare is coming on when my intestines are generally unsettled, my BMs go over 4 consistently and I feel tired or start to lose weight.

quincy
Elite Member


Date Joined May 2003
Total Posts : 30078
   Posted 3/14/2008 10:42 PM (GMT -7)   
If one goes more than once a day but with rectal discomfort/urgency..etc...no bleeding...that could be a symptom of rectal inflammation. Many with rectal inflammation (limited to that) especially lower rectal inflammation...constipation, gas, discomfort and rectal pain can definitely be symptoms.

I know that it's easy to get focussed on the butt...especially when it's behaving a bit out of the norm.

LR....can you not take any rectal meds? I thought you took them in the past? If so, maybe starting even suppositories will help hemorroids.

The reason I'm suggesting to take rectal meds...suppositories....because it's possible that hemorrhoids could be YOUR first symptom of possible flaring.

You'll know soon enough if it is something or if it's nothing.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th 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 ....zymactive 3 - 5x 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 !!!


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1190
   Posted 3/15/2008 3:38 AM (GMT -7)   
I have never had rectal meds for Colitis and my GI says I don't need them. He said that the 6 Asacol a day is enough and he wants to cut that down in April too if I am OK. I fear my anxiety is playing games with me, stressing me out and the IBS is kicking in. As for my hemmorhoids at the last scope the GI said they were so small they didn't matter and they were not bleeding either - I doubt it is them.
 
I have had 1 BM in the last 26 hours without urgency. It is when I have 2 or 3 that I start to worry but that could be down to what I eat and how fast my food is digesting. I take biocare probiotic too which might help. My BM's are well formed but soft but I have had that all my life more or less.
 
I am in remission but always scared the blood will return, I guess I need to get my head round the fact that God Willing I am fine. Thanks for everyone's help.

Diagnosis in October 2007: Non Specific Colitis (Mild inflammation on Rectum, Plus some patchy inflammation on Right and Left side of Colon). Symptoms started after a bout of anti-biotics.                                 

Medication Prescribed: 800mg Mesalazine (Asacol) 3 times a day  

Symptoms: One or sometimes two BM's a day often linked to anxiety and stress (IBS). In remission since October - after 4 days of meds. Stool colour often light in colour but well formed and urine often dark or yellow.


quincy
Elite Member


Date Joined May 2003
Total Posts : 30078
   Posted 3/15/2008 9:33 AM (GMT -7)   
You would best encourage your doc to give you rectal meds when you start flaring....truly. Your doc is wrong in saying you don't "need" them.

Food intake, quantity and quality, can increase bms. Digestive enzymes and probiotics will help the digestion process...which is a good thing.

I have heard from some health gurus that 3 is the optimum # bms. I have them sometimes depending on what I eat.

You have to allow your cognitive brain to kick in and look back to at least 2 days of what you eat and the consistency of the bms.

When I get many bms and wipe well (plus a butt wash)..I do rip open my fissure. When I push...yes I do....the external hemmie flares a bit...so, both can leave me with some butt feelings that can play with my mind a bit. External or internal butt meds...be them proctocedyl or steroid cream helps a lot.

Deal with any inflammation quickly...

Be well,
quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th 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 ....zymactive 3 - 5x 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 !!!


NMcP
Regular Member


Date Joined Mar 2008
Total Posts : 212
   Posted 3/15/2008 9:50 AM (GMT -7)   
Man, if I pooped only once a day I'd be in heaven! I have always been a 2+ sorta gal.

I can tell when a flare is coming by the pain, mucous and consistency of poo. From what I understand, there isn't a line drawn in the sand for what is a flare and what is remission. But hey, I could be wrong.

Canasa is my best friend. I use it when I need to and it has been a life saver. For me, that urgency to go is what drives up the poo #s. My doc explained to me that there is a little nerve down there that lets you know when to go. When that nerve gets inflamed, all hell breaks loose and that causes the urge (and sometimes pain). The canasa suppositories have nipped that in the bud pronto.

You are the boss of your body and your healthcare. If you feel that you need a medication and if your doctor denies it, then they need to give you a really good reason why they denied it. The old "because I said so" doesn't cut it. If you feel that you aren't being listened to, or getting the service you need (and are paying for!) it's time to move on and find a GI that will work with you, not against you.
Age: 48
location: Seattle, Wa
Diagnosed with UC in June 2006
Medications: Lialda 4 pills once a day, Canasa supps as needed
Supplements: vitamins, probiotics
No. of colonoscopies: 1
Originally diagnosed with moderate UC, pancolitis
No flares since Jan, 2007


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1190
   Posted 3/17/2008 1:07 PM (GMT -7)   
After 3 days of one a day, I had 2 a day today - one in the morning and one at night...I guess I am never going to get it down to one a day permanently... I should count my blessings that God Willing my blood has gone...

Diagnosis in October 2007: Non Specific Colitis (Mild inflammation on Rectum, Plus some patchy inflammation on Right and Left side of Colon). Symptoms started after a bout of anti-biotics.                                 

Medication Prescribed: 800mg Mesalazine (Asacol) 3 times a day  

Symptoms: One or sometimes two BM's a day often linked to anxiety and stress (IBS). In remission since October - after 4 days of meds. Stool colour often light in colour but well formed and urine often dark or yellow.


tabitha m
Regular Member


Date Joined May 2007
Total Posts : 139
   Posted 3/18/2008 9:59 AM (GMT -7)   
London Red it is totally normal to go twice a day , stop worrying about it. i really hope you never have a major flare , at the worst time for me i went 32 times in one day ! anything less than 20 was fantastic !
 
Hope you continue to stay well
 
Mmmm perhaps we should have a competition, - Who holds the record for the most Poos in one day lol
 
Tabx
Diagnosed Proctitis 2003
leaped to Pancolitis May 2007
bye bye Pred (fingerscrossed )!
2000mg pentasa a day
omega 3
Allergic to Sulphalizine
In remission since june
Multivitamin and calcium supplement
 
 


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2201
   Posted 3/18/2008 11:01 AM (GMT -7)   
I'll weigh in as another who thinks you're creating a problem where there's not one. Two or three bowel movements a day is actually a good thing if you're healthy, symptom-free and are consuming plenty of fiber and water.
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.
 
 


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 3/18/2008 11:58 AM (GMT -7)   
This isn't a competition. As we know this disease is very individual. What's right is what is right for YOU!

Normal peeps - without bowel disorders - can go anywhere from once every two-three days to three times a day.

Are you on any meds for your anxiety? If not, it would be worth a talk with your GP. It's a chicken and egg situation. Flaring can cause anxiety; anxiety can cause flaring.

Question: The day before you had two bms, did you eat anything out of your normal? Something with more fiber? A taco salad (chili on lettuce, with chips and cheese) will cause add'l bms for me, even in remission.
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
 
Asacol 12 per day,  Azathioprine 75mg, Aciphex, Effexor XR, Forvia and a Probiotic
 
Co-Mod for the UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate

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