NH...Definitely flaring, not from hemmies or a fissure...considering it's in and around the stool. Looks as mine did when I was bleeding with a flare..different than when I have a fissure..which is more dripping in the toilet after I wipe.
Not to say you couldn't have either, however...but considering you have UC, and if it's consistent...it's a flare..
The inflammation could be higher than where the bleeding is....but considering the stool is pretty formed and the bleeding is quite a bit through the stool, you should be on rectal meds regardless to help while you're tapering off the pred.
How much iron are you taking? Sometimes that would darken the stool and cause some constipation...but that doesn't seem the case.
Are you taking any fibre supplements?
*Heather* Status..Asacol 6 (3 twice daily); enemas every 5th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~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 !!!