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basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 10/28/2008 3:59 PM (GMT -6)   
I have NEVER seen blood so can someone explain what it looks like? Two weeks ago I started having d. It started two days after starting effexor for anxiety. We all assumed the d is a side effect of the effexor and it will go away when my body adjusts to it. I've had mega urgency with a little cramping and a ton of gas. Today was another d day and I found some blood on the toilet paper. It was red but not bright red or dark red either. It didn't hurt coming out like it would if it were a hemi or a fissure so now I'm not sure what to think. I meet with the CNP I'm seeing here at school who prescribed the effexor on Thursday so I'll talk to her then. I should also add that I started z-pack Sunday for a sinus infection but I've been taking a probiotic so I don't think that has anything to do with it. I'm at a loss of what to think. If it happens again I'm calling my GI but I most likely won't be able to get in until late December...
Sam 19 year old college student
Diagnosed March 2005
Remission since January/April 2006 (incident with mono)
3200mg Asacol, 25mg Amitriptlyine, Ortho Tri-cyclen lo, Effexor XR for anxiety
"If you don't like something, change it. If you can't change it, change your attitude"
Maya Angelou


emory
Regular Member


Date Joined Aug 2008
Total Posts : 327
   Posted 10/28/2008 4:11 PM (GMT -6)   
Blood looks like blood. I believe if it's bright red, that means the source of bleeding is lower down; darker blood is coming from higher up in the intestinal system. Sometimes if mixed with mucus I just see a pinkish color, sometimes a rusty one, sometimes bright red. Sometimes it actually comes out in drops and turns the whole bowl red; that can be freaky. The only time I have had dark blood (blackish) is right before the bleeding stops for a while and/or I've been constipated.

Because I've been bleeding a lot, I avoid beets (which turn everything red) and tomatoes and red peppers (which can look like bloody spots in the stool).

Hope you get things figured out --
emory
40, female
Dx ulcerative proctitis, 3-5 cm, June 2008 (after 5 weeks of blood and mucous) and still flaring
Canasa 1000 mg suppositories and 2 tsp smooth texture Metamucil nightly
25 mg hydrocortisone suppositories and 1 Garden of Life Primal Defense Ultra in a.m.
Effexor 37.5, Remeron 30 mg, Clonazepam .5 mg (or more) and Trazodone 75 mg for sleep/anxiety
2.5 mg methimazole for thyroid
Trying acupuncture
Osteopenia and other assorted ailments


potato
Regular Member


Date Joined Jun 2008
Total Posts : 281
   Posted 10/28/2008 4:23 PM (GMT -6)   
That sounds similar to what I saw at first, before I was diagnosed.  Blood on the tp, for me watery looking red.  In fact, for awhile I rationalized it as the juice from tomatoes that I wasn't digesting properly.  It was actually blood.   
Potato...  Female, 58, dx 11/07 mild left sided ulcerative colitis (50 cm)
asacol 3 3x a day, cortenema (generic) every other night rowasa
culturelle, benefiber wafers metamucil wafers, activia yogurt, spinach & sunflower diet, primadophilus reuteri
children's vitamin, Vitamin E 400 mg, omeprazole 2xday
oxazepam when needed, lomotil or ImodiumAD when needed
Yoga, meditation, The Work by Byron Katie, exercise at least 5 days a week
 


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 10/28/2008 4:40 PM (GMT -6)   
I think UC without blood would be very unusual!
Because ulcers bleed. Sorry it is making you nervous, but some blood is to be expected.
The timing makes it sound like your new meds are causing irritation.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Replete probiotic first, then Forte pills. 
Achieved remission for the first time in many, many years!? Seemed so, but colonoscopy Oct. 6 proved not so, heavy inflammation in ascending colon & will be using Rowasa again. But I AM better.
 
 


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 10/28/2008 5:16 PM (GMT -6)   
No no my GI was never concerned about no blood. We caught my UC in time before it got too bad. There was inflammation but not quite to the point of full blown ulcers. Don't get me wrong I was definitely sick but we started treating it in time.
Sam 19 year old college student
Diagnosed March 2005
Remission since January/April 2006 (incident with mono)
3200mg Asacol, 25mg Amitriptlyine, Ortho Tri-cyclen lo, Effexor XR for anxiety
"If you don't like something, change it. If you can't change it, change your attitude"
Maya Angelou


Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 10/28/2008 7:52 PM (GMT -6)   
I've had blood of every color - bright red, dark red (almost black), even maroon!  It won't necessarily hurt any more than when you're not bleeding.  Sometimes you can be bleeding and not even know it.  I wasn't bleeding the last time I was in the hospital, but my iron levels went way down because I was bleeding high up in the colon. 

Katie, 30.   Chicago 'burbs.
DX:  Pancolitis as of 9/08 (Proctitis as of 1/08)
Current Treament:  Asacol 1200 MG 3X daily, Cortenama 100 ML nightly, Iron 325 MG 2X daily, Zoloft 50 MG daily, Bentyl 20 MG as needed, Multivitamin.
Diet/Exercise:  Spinach/sunflower and low-residue.  Yoga and walking.
Previous Treatment:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Rowasa.
Status:  Flare
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 10/28/2008 11:31 PM (GMT -6)   
Blood in the stool can be bright red, maroon in color, black and tarry, or occult (not visible to the naked eye). Causes of blood in stool range from harmless, annoying conditions of the gastrointestinal tract such as hemorrhoids to serious conditions such as cancer.

Rectal bleeding (known medically as hematochezia) refers to passage of bright red blood from the anus, often mixed with stool and/or blood clots. Most rectal bleeding comes from the colon, rectum, or anus. The color of the blood during rectal bleeding often depends on the location of the bleeding in the gastrointestinal tract. Generally, the closer the bleeding site is to the anus, the blood will be a brighter red. Thus, bleeding from the anus, rectum, and the sigmoid colon tend to be bright red, whereas bleeding from the transverse colon and the right colon (transverse and right colon are several feet away from the anus) tend to be dark red or maroon colored.

In some patients bleeding can be black and "tarry" (sticky) and foul smelling. The black, smelly and tarry stool is called melena. Melena occurs when the blood is in the colon long enough for the bacteria in the colon to break it down into chemicals (hematin) that are black. Therefore, melena usually signifies bleeding is from the upper gastrointestinal tract (for example: bleeding from ulcers in the stomach or the duodenum or from the small intestine) because the blood usually is in the gastrointestinal tract for a longer period of time before it exits the body. Sometimes melena may occur with bleeding from the right colon. On the other hand, blood from the sigmoid colon and the rectum usually does not stay in the colon long enough for the bacteria to turn it black. Rarely, massive bleeding from the right colon, from the small intestine, or from ulcers of the stomach or duodenal can cause rapid transit of the blood through the gastrointestinal tract and result in bright red rectal bleeding. In these situations, the blood is moving through the colon so rapidly that there is not enough time for the bacteria to turn the blood black.

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


quincy
Elite Member


Date Joined May 2003
Total Posts : 30585
   Posted 10/28/2008 11:43 PM (GMT -6)   
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?

quincy
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 10/28/2008 11:47 PM (GMT -6)   
Sam already stated it didn't hurt coming out like it does with a fissure, lord knows we all know how horrible it feels when we have fissures though...from what she describes I'm betting it's related to her UC, although sometimes with a small internal hemmie there can be bleeding with no noticeable pain or discomfort too.

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


quincy
Elite Member


Date Joined May 2003
Total Posts : 30585
   Posted 10/29/2008 12:02 AM (GMT -6)   
my fissure does't hurt when I'm having a bm, but I only have a small one pretty much externally, clearly visible, but it does sometimes after when I wipe after I've ripped it open. Although, mix that with an external hemmie and a flare...yowie! smhair
I guess it could depend on how bad of a state one's butt is in at the time.

Absolutely, it could be UC related...but if it were, it would be more continual, since the mucosa would already be in a friable state. Every bm or even blood itself would present without stool...there's nothing like spraying pure blood from one's butt... shocked

I must add to Sam.....do get it checked out since it's something different than you've dealt with up till now.

I wasn't diagnosed until I started to bleed....but I still had 3 years of hell diarrhea prior to that (wish the doc then sent me to the GI). Gas was definitely a symptom of flaring with the bleeding.

quincy


*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!
 

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