Take a look-see over a mirror and if you have a cut there, it's a fissure. I have one that I break
open with overzealous wiping. It has on occasion dripped in the toilet, but that's a different type of bleeding than if I were flaring.
With all the extra bms you've had lately, I would think it could be a fissure rather than bowel bleeding.
If it were colonic bleeding, it would be in the diarrhea/stool on the toilet paper, but mixed with it. Did the bleeding itself continue after you considered yourself "wiped"?
Effexor is known to cause intestinal upsets....you could consider to take it with a larger meal, for example at night, although it's most often prescribed to be taken at the beginning of the day.
Just make sure you eat with it.
If it continues, or increases, then it could be UC related...
I don't see you on any meds for UC....can you not take any 5ASA meds? oral/rectal?
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux); Effexor XR 75mg(depression); 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 !!!