Strictures and Bowel Narrowing?

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Roopkirani
Regular Member


Date Joined Apr 2008
Total Posts : 24
   Posted 4/29/2008 2:16 PM (GMT -6)   
Hi Everyone,

Since the last week in March, I have been having some symptoms that are different and unusual to those I normally experience during a flare up. I'm wondering if anyone has any thoughts to what the following symptoms might indicate:

1. Lots of mucus in the stool

2. Small to no blood (blood slowed/stopped when I changed to a low residue diet)

3. 2-3 days with no bowel movement at all or one or two small pellet-like bowel movements every 2-3 days followed by one day with a moderate bowel movement where the stool is really narrow (just a little wider than a pencil).

4. Foul smelling flatulence and bowel movements (more than usual at least).

5. Abdominal cramping only after the 3rd or 4th day when my colon finally decides it wants to try pushing everything out.

The first thing that comes to mind is some type of stricture or narrowing of the bowel, or worse, some other type of growth that is hindering the normal passage of stool through the bowel. However, strictures are less common in UC patients, are they not?

I usually end up having to take a stimulant laxative after the 4th day of no bowel movement because the cramping gets too intense. I cannot continue to take stimulant laxatives like Senna, as my bowel is already too darn lazy. Osmotic laxatives like Lactulose give me horrible gas (and don't particularly work) and I have had little to no success with stool softeners like Docusate.

What can I do to get things going? I know the usual, lots of fluids, exercise, I've even tried Metamucil to no avail.

I hate to self diagnose, but could I be right in thinking it's a stricture? Does any one else experience "flares" like this?

I have been to see my GI regarding these symptoms and the plan is to do a colonoscopy, however the earliest scope date I could get was June 12, and I have no choice but to play the waiting game.
24, Female
Dx: Pan-colitis, December 2000
Current Meds: 75 mg 6MP daily (since September 2001)
Previous Meds: Asacol, Prednisone (for moderate to severe flares)
Supplements: Omega 3, Multivitamin, Probiotic (HMF Forte), Green tea

Post Edited (Roopkirani) : 4/29/2008 1:19:40 PM (GMT-6)


princesscolon
Veteran Member


Date Joined Apr 2006
Total Posts : 733
   Posted 4/29/2008 2:28 PM (GMT -6)   
Hmm. Well I have had all those same problems and I have had several scopes, once I had a fissure and ulcers, the other times, just an ulcer or two, no growths. The only thing I noticed was that the more rectal ulcers and problems I have had, the more trouble I have passing the stool. I was using Benefiber powder every day and I liked it better than Metamucil. Another one I have heard of but not tried is Miralax. Exercise does help too, and maybe you could try some rectal meds to see if they calm down the inflammation and help things pass.
Diagnosed with Left-sided UC in 1995 at age 15, Prednisone, Rowasa & Hydrocort. Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Aloe Juice, Canasa, Enotcort, Colazol, Anamantle, Remicade, etc... had 1 inch deep rectal ulcer 2004, put on Remicade, August 2007:Increased Remicade dosage-700mg every 6 weeks,diagnosed w/ Psoriatic Arthritis & Fibromyalgia Current meds: Clorazepate, Lomotil,  Tylenol pm, Lyrica started 1/17/08,  Humira started 4/4/08


kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 4/29/2008 2:39 PM (GMT -6)   
I was told i had strictures at the beginning of this flare. The only difference from my normal symptoms was the pain for me. I had lots more pain than i had previosly. I have NEVER not had a bm.

The narrowness can just mean you have inflammation in your colon. I would call your GI.
Kelly, 30

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, 5mg pred, 150mg Imuran
Prontonix once daily for acid reflux, zofran twice daily for nausea, darvocet for pain
Remicade started 3/1/08...just had 3rd infusion


quincy
Elite Member


Date Joined May 2003
Total Posts : 30976
   Posted 4/29/2008 4:29 PM (GMT -6)   
Definitely call your GI....I would say it's more from inflammation than a stricture...low in the rectum inflammation will cause more constipation type symptoms..

Don't take laxatives please....you should introduce fibre supplements instead of them...try the pill form rather than what you mix. Too many will work the opposite. You could add more vitamin C...can help to loosen the stool a bit.

Drink coffee.

You should be using rectal meds asap...I cannot stress that enough.

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 !!!

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