Any ideas on why UC causes majority of BM's from early am to noon?

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New Member

Date Joined Jun 2008
Total Posts : 14
   Posted 6/22/2008 3:45 PM (GMT -6)   
I have 75% of my BM's from 6:00 - noon.
I am flaring now, so it is about 10X in 4 hours, then I may only go 4X until 10:00 pm.
Heading in for a colonoscopy on Tuesday.
Male - 42, San Diego, CA
Diagnosed May 2002 with Ulcerative Colitis
Asacol = 400mg X 12
Prednisone = 25mg
Omeprazole = 20mg X 1
Lisinopril = 10mg X 1 (blood pressure)
Lomotil = 2.5mg X 3-4 (when flaring)
Calcium + D = X 1

Regular Member

Date Joined Jan 2003
Total Posts : 78
   Posted 6/22/2008 4:18 PM (GMT -6)   
I have the same issue. My doctor said that it has something to do with the body going from rest to activity. I just know that if I have something important that I need to get to in the AM I need to get up extra early to get it "all out of my system". I have a friend with UC and she has the same experience.


Regular Member

Date Joined May 2005
Total Posts : 495
   Posted 6/22/2008 4:33 PM (GMT -6)   
Thats weird, I have the same problem. I have often wondered why, and I get up early to get it all out as well!!

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   Posted 6/22/2008 5:14 PM (GMT -6)   
I think it's pretty universal. I guess when we wake up our digestive systems do also. I used to get up at 5 AM so I could leave for work by 8:30.
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.

New Member

Date Joined Jun 2008
Total Posts : 2
   Posted 6/22/2008 6:51 PM (GMT -6)   
I  am the same way. I have 3-4 BM's 1st am and I am usually ok until later afternoon. Does anyone experience tenderness and hear there stomach rumbling and gargling hours after making a BM?

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 6/22/2008 7:03 PM (GMT -6)   
For the majority of IBDers this is common.

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

Veteran Member

Date Joined Jun 2008
Total Posts : 2865
   Posted 6/22/2008 7:56 PM (GMT -6)   

Yes, I am newly diagnosed with UC and always early morning.  I also get up 2 hours early and usually ok for the rest of the day unless I overeat a big meal.

Good to know we are not alone!  ElaineNY

68 year old female
diagnosed IBS about 20 years ago,
colonoscopy one year ago diagnosed as colitis
which cleared up by itself using Imodium when needed,
flareup (with rectal bleeding and diarrhea)- 2 months ago, colonoscopy showed mild
UC rectal and little above.
Taking Canasa 1000mg. once a day - just started.
Other medication...
Probiotic Align
Prilosec for GERD
Inderol for hypertension
Xanax for anxiety
calcium w/D
Tylenol for arthritis

Regular Member

Date Joined May 2008
Total Posts : 47
   Posted 6/22/2008 8:17 PM (GMT -6)   
I agree with the early morning BMs. I am flaring now as well, but I wake up alot in the middle of the night. I havent been able to sleep a full night in a long time. My best hours are probably from noon to bedtime, then it starts. :(
20. Female. California.
Diagnosed left sided Ulcerative Colitis at 15, first symptoms at age 11.

40mg prednisone daily. (Been on prednisone 5mg-40mg for the past year)
Now down to 30mg

Multi Vitamin
Digestive Advantage Chrons and Colitis
Iron Supplement
Allergic to- 6mp, Asacol

Regular Member

Date Joined Dec 2007
Total Posts : 354
   Posted 6/23/2008 7:16 AM (GMT -6)   
I wonder if it could be because we don't eat for 12 hours or so at night and it takes some time for food to go through your system. We have a flow of food somewhat for the daytime and then we don't have food for a while so its like a pattern maybe. I dunno
Jessica 26/F 30mg pred
dicyclomine 10Mg as needed
Citalopram 20 MG
Culturelle once daily
omeprazole(for acid reflex)
Tried (Entorcort EC 9ml/day and Prednisone, Asacol ,colazal)

Regular Member

Date Joined Jun 2008
Total Posts : 197
   Posted 6/23/2008 11:06 AM (GMT -6)   
Neon - I have the same issue overnight I HATE starting to wake up about 1-3AM and then never getting more than a 60 minute block of sleep after that.

I have found that if I eat a very early dinner (5-6pm) then I have a fairly substantial BM before bed (8:30-9:30) then I tend to not wake up until about 4-5AM. Maybe that may work? Oh yeah. . . .the morning BM trips are reduced when I eat that early too. Other than that I am like the rest. . . .running to the bathroom tons first thing in the morning.
Kim ~ Mom of Nathaniel aka "Peanut" 18months old
I'm a married 36 yr old mom and here's "The list "
- UC 1997 currently unmedicated was on Colozal from 2001-2007
- Stage 3 CKD (Chronic Kidney Disease) 2007 taking 7.5mg lisinopril
- Anemic - Ferolicit IV bi-weekly
- Ashermans Syndrome - no treatment
- Allergies - water - haven't been tested officially but pine suspected

Regular Member

Date Joined Jul 2007
Total Posts : 402
   Posted 6/23/2008 12:48 PM (GMT -6)   
I actually have the complete opposite issue. When I am flaring, I have very few BMs in the morning. They seem to really get going in the late afternoon/early evening - after lunch, basically.

I wonder if I am an oddball in this regard. Does anyone else kick in later in the day?

On an interesting side note, when I am in remission, I always have a BM in the morning - around 10 am.
Wearing many hats: Mother, Wife, Daughter, Professional, Sister, Friend
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Multi-Vitamin (1x per day)

Veteran Member

Date Joined Mar 2008
Total Posts : 678
   Posted 6/23/2008 12:59 PM (GMT -6)   
Most of my trips to the bathroom are in the evening after dinner.
31 yr old female, currently pregnant.
Diagnosed 2/29/08 with Mild Universal UC
I've had UC since 2000 but was in remission for most of those 8 years med free
Lialda Colazal & Asacol made symptoms worse, MUCH worse
Not taking any more meds for now. Trying a holistic approach.

Veteran Member

Date Joined Jul 2007
Total Posts : 2148
   Posted 6/23/2008 3:24 PM (GMT -6)   
my current flare, I was having about 5 in the am between 6:30 and 8am and then about 5 bm's from 6pm to 9pm.

My blood and urgency are better and now still have about 5 in the am but 1 or 2 between 6-9pm.
Beth, 32 ~ small flare - hoping caused by aspirin - hydrocortisone e's
Major Flare Sept/Oct 07
UC dx'd 03/00 (Proctosigmoiditis); Pancolitis since 09/07
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Prilosec, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd 09/07 - partial remission since 03/08
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.  Do you have edema? If so, check your blood protien level!

at wit's end
Veteran Member

Date Joined Jun 2007
Total Posts : 569
   Posted 6/23/2008 10:44 PM (GMT -6)   
mptinatl said...
I  am the same way. I have 3-4 BM's 1st am and I am usually ok until later afternoon. Does anyone experience tenderness and hear there stomach rumbling and gargling hours after making a BM?

That is me. And it usually is smaller amounts. Yes, I have tenderness, of course, if I'd quit pressing around on myself all the time in my abdominal area I might not be and also, I feel a constant tightness in my upper gut area all the time, only if I get around to doing something that occupies my time do I not think about it and it goes away. And of course, I hear gurgling and feel the gas 3/4 of the day. Worse at night and early morning. Of course, when these things occur my stress levels rise very sharply. And tonight I have heartburn. I think I am having some problems with the taking of the Asacol maybe, I read all the side effects of them and a good deal of it sounds like what I'm experiencing. I took it one time before with no problem, but a person's system can change with age I am sure as to tolerating medicines. I've noticed more also when using the bathroom that it seems like I can feel it moving down from my upper part of my intestine, never noticed that before now. No diarrhea or bleeding for me though. Weird.

Diagnosed with left sided UC in sigmoid colon and rectum 1986.
Put on Azulfidine 2 X 3 a day and Rowasa enemas 60mg.
Have been pretty much in remission overall other than a few flares over the past 21 years.
Medicine changed to Asacol 400mg 2 pills X3 times a day. Taken off all meds in 2004.
Diagnosed with acid reflux 2005. Put on Protonix 40mg.
Have been using Canasa 1000mg suppositories nightly since January 2007.
Was put back on Asacol 400mg 2 pills 2X a day in July 2007 maintenance. 

Post Edited (at wit's end) : 6/23/2008 9:47:24 PM (GMT-6)

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