How do you distinguish inflammation blood?

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LondonRed
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Date Joined Oct 2007
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   Posted 8/22/2008 1:41 PM (GMT -6)   
Let's say intermittent bright red blood fresh on the tissue and some specs on the stool coupled with no Diarrhoea and no pain= Internal Hemmorrhoids.
 
How would one distinguish blood that is coming from a flair up/inflammation?

Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)


LondonRed
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Date Joined Oct 2007
Total Posts : 1194
   Posted 8/22/2008 2:58 PM (GMT -6)   
I am depressed. Everytime I think I am in remission I get bright red blood in the tissue and a little on the stool and I freak out. I dont have diarrhoea but do have a lot of gas. I even go to the toilet and nothing comes out but gas! I have been eating a lot of fruit lately, could that cause it? I am having 2-4 BM's a day.

Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)


Mackster
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Date Joined May 2007
Total Posts : 768
   Posted 8/22/2008 3:09 PM (GMT -6)   

I'm not sure it's great to eat a 'lot' of (raw) fruit with UC, especially acidy fruit like citrus. They even recommend you eat apple sauce rather than raw apples.   Some fruits are probably ok like peach/mango/apricot/pears but again stay away from the skins and be careful with berries with lots of tiny seeds like raspberries/brambles etc.

I hope this helps.    


Mackster
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Date Joined May 2007
Total Posts : 768
   Posted 8/22/2008 3:18 PM (GMT -6)   

Sorry I never tried to answer your main question re the blood.  My guess would be that you're correct in stating that 'bright red' blood could come from a local area round the anal region, eg piles (internal or external) or a fissure at worst.

Darker 'mahogany coloured' blood would likely be from inflammation further up the colon.

I'm no doctor though.   I don't have the 'patients'.

I'll get me coat...


LondonRed
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Date Joined Oct 2007
Total Posts : 1194
   Posted 8/22/2008 4:18 PM (GMT -6)   
Thanks Makster - it is very frustrating. I am an IBDer with IBS and Piles.. so you can imagine how hard it is for me to know what is causing what.

Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)


Christine1946
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Date Joined Aug 2008
Total Posts : 5975
   Posted 8/22/2008 4:55 PM (GMT -6)   
I have been bleeding since May London. I was hospitalized with ulcerative proctitis from May 3rd thru 13th. I had the colonoscopy (I have to get one every year since being diagnosed in 1998) in the hospital. It just showed moderate ulcerative proctitis and diverticulosis. The bleeding concerns me too but since I was seen at least three times in the last three months by me GI and a colorectal surgeon (who gave me a rectal exam and said it didn't look that bad up there), my mind is at ease. Just make sure nothing is going on "up there" by having your GI perform a colonoscopy. Apparently, bleeding comes with this territory. Oh...my meds are prednisone 20 mgm (can't seem to get off this), 6MP, colazal and nightly cort enemas alternated with Canasa suppositories. You would think with all this medicine something would kick in.

at wit's end
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Date Joined Jun 2007
Total Posts : 569
   Posted 8/23/2008 5:20 PM (GMT -6)   
LondonRed said...
I am depressed. Everytime I think I am in remission I get bright red blood in the tissue and a little on the stool and I freak out. I dont have diarrhoea but do have a lot of gas. I even go to the toilet and nothing comes out but gas! I have been eating a lot of fruit lately, could that cause it? I am having 2-4 BM's a day.

LondonRed, I have been experiencing some of the symptoms you have. Some bright red blood on the tissue but I've not been able to tell for sure if there is any on the stool, haven't noticed any, I have no diarrhea but have multiple bm's a day. This past Sunday I had 5 bm's, 3 Monday, Tuesday, Wednesday and Thursday but only two yesterday and today. However, every time I have one I have rectal throbbing. I also at times a good deal of gas and nothing else.
 
I feel I am really raw and irritated down below and have either developed hemorrhoids or an anal fissure from going so much. Really bugs me.
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. 

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