Blood and Mucos

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happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 12/1/2008 8:07 PM (GMT -6)   
Helo All,

What does blood and mucos means?
Morning when I'm going to Restroom for the first time it was OK, second time very little bit blood and mucos.
No bowel movement until afternoon.
But afternoon around 4.00pm if i feel of using the restroom, i see blood and mucos again
this cycle repeats for 2-3 days and next 3-4 days it is fine..and only 2 bowel movements in the mornings..thats it..
Why is this happening like this?
I'm currently on Colozal 3/3 times a day and Canasa nightly
Not sure if it common and it is happening due to the food that i eat.........
I'm fully getting confused....
Am i not in full remission or atleast in partial remission?
Please advise and post your experiences

Thanks in advance

princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 12/1/2008 10:07 PM (GMT -6)   
Blood means you either have irritated areas of inflammation that are bleeding and/or you have fissures or hemmorhoids. Mucous can be a sign that the colon is irritated and is producing extra mucous in an effort to coat and protect itself.
Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal. Long-term remission with only minor blips.
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30998
   Posted 12/2/2008 2:26 AM (GMT -6)   
I'd say still flaring and low in the rectum inflammation. (the constipation part with mucus and bleeding) I don't think that one Canasa nightly is enough. How long have you been on them nightly?

You could consider to use the Canasa twice daily to see if it helps...but I'd really suggest you call the doc and request a rectal retention enema such as Rowasa.
..

What were your symptoms before these..such as when you were obviously flaring. If it's gone from diarrhea, frequent bms..etc, then you're improving and need to be on the rectal meds longer.

You could consider to add a probiotic and a fibre supplement such as Metamucil smooth. Not the kind that's sugar-free, however.

It'll help to soften and bulk the stool.

make sure you're eating enough foods during the day...

quincy
*Heather* Status..Asacol 6 (3 twice daily); enemas every 5th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate)....1 each  @ bedtime
~various digestive enzymes as needed
~Ranitidine (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 !!!
 


happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 12/2/2008 7:41 AM (GMT -6)   
Hi Quincy

Thanq for your response.
But is there any way we can find if the inflammation is in the top or from the bottom by the number of bowel movements(pattern) or urgency or mucos..etc?
Please advise

kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 12/2/2008 11:28 AM (GMT -6)   

I have similar and had a colonoscopy in November.  I only have two (sometimes three) BM's mornings (no later) - either first or second will have the blood and mucous (usually the first thing that comes out) and then will be ok for second or third.  I have left-sided UC diagnosed last summer.  This scope showed only confined to rectum - which is improvement but still there.

I am using Procofoam every night now for about a month - seems to be slightly better - certainly no worse.  I do not take any oral medication for UC as all mesalamine medications made it worse.  I am thinking at my appointment Dec. 17 I will ask for stronger rectal meds with steroids since I can't use the Rowasa or similar. I take the probiotics and the BM's are well formed and normal.  Just have a little cramping in morning with first BM.

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only 2 cm. left to heal in rectum - going to try Proctofoam first.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
Close to remission -spoke too soon!
 
 
 
 
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30998
   Posted 12/2/2008 1:31 PM (GMT -6)   
Basically, UC starts at the anal/rectal junction and continues it's inflammation upward. For some, it's limited, some it's throughout.

Many of us don't suspect inflammation with constipation....which can also be a symptom of IBS...but once bleeding, rectal pain and urges but with blood or mucus..it's suspected that something else could be going on.

If the inflammation continues upward to the top of the rectum, one could have more bms, looser or soft, pencil thin...or up to loose to the point of diarrhea.

Once it gets past the top of the rectum, the stools are more diarrhea.

Now...depending on the amount of inflammation, there will be no blood or blood, more bms, less bms..etc. Some don't have symptoms to match the degree of inflammation, meaning...some with more severe inflammation might not have as many symptoms as someone with slight inflammation...we all do tend to present similar, but with variations.

Healing tends to go the opposite way. Think of a thermometer...up and then down. As one heals, the symptoms will change with rectal symptoms the last and the most stubborn for some.

But, basically....if you are having less bms, with bleeding and mucus, I would think it's still a flare, but improving.

If you are taking imodium or meds that can cause the colon to slow down, you might have higher inflammation, but it's masked by the change in colon function by the meds..not by the place of inflammation.

Now, I'm going to cover my butt here and state that it seems a low number of patients don't have rectal involvement...but possibly they have CD in early stages or indeterminent colitis. Time can tell eventually.

I'm basing ,my suggestions and knowledge on the norm UC diagnosis and that you have rectal involvement considering you're on Canasa.

Hope this helps.

You should, however, still consider either a stool softener or to try the Metamucil Smooth....the reason is that a soft stool feels much better going through an inflamed rectum.

quincy
*Heather* Status..Asacol 6 (3 twice daily); enemas every 5th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate)....1 each  @ bedtime
~various digestive enzymes as needed
~Ranitidine (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 !!!
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 12/2/2008 3:03 PM (GMT -6)   

quincy is referring to me (and others) who use Imodium.  I never use it unless I have had several loose BM's and NEED to slow down my colon.  Also, never have I been constipated for any reason.

Having said that - is it possible to remain partially in remission - little bleeding, mucous but generally feeling ok - dealing with occasional diarrhea (because of something I eat - IBS) - just occasional symptoms.  I would be happy right where I am but feel everything believes we must heal everything and have no symptoms.  Now, I am 68, can't stand the side effects of the meds that work and looking for a happy medium, I guess.

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only 2 cm. left to heal in rectum - going to try Proctofoam first.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
Close to remission -spoke too soon!
 
 
 
 
 
 
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5191
   Posted 12/2/2008 9:16 PM (GMT -6)   
Happy Living, I would advise you not to worry about your daily sequence of toilet events as long as your no. of bms daily decreases, feelings of urgency become less frequent, and you can expel gas "without something else flying out into your pants"-- as Therearemiracles described so memorably a while back. Can you eat a fairly normal diet and sit at table comfortably? How is your energy level? Those things should clue you in as to progress with the meds you're taking. Improvement in UC is not necessarily steady; sometimes you can have bad days mixed in with good for a longer while than you'd hope for. That's not unusual with UC. Hang in there! / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])
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