urgency with formed stools

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qwerty1
Regular Member


Date Joined Feb 2009
Total Posts : 402
   Posted 4/11/2009 4:38 PM (GMT -6)   
Just wondered...I think I'm heading into remission, having been given quite a concoction of drugs...however, now the doses have been lowered and I'm nearly off the Pred, I'm still getting symptoms - uncomfortable, nauseous, a small amount of mucous, and still getting urgency but the stool is nearly always formed and quite normal, or at the very least soft. Why is this? I always associated urgency with diarhhoea?
22 year old female, from the UK.
 
Diagnosed with Ulcerative Proctitis Jan '08, Proctosigmoiditis Jan '09.
Hospitalised Jan '09 for 3 days IV Hydrocortisone - had no effect!
Hospitalised Feb '09 for 7 days (5 days - IV Hydrocortisone)
  
Currently taking daily: 
10mg Prednisolone tablets (tapering from 40mg)
5mg Prednisolone suppository x 1 (Alternating each day with 1g Acetarsol suppository)
1g Mesalazine granules x 2
 
7.5mg Zopiclone (taken every other night for sleeping)
10mg Citalopram (anti-anxiety/depression)
Vitamins A,C,D 
                             
                             


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 4/11/2009 5:10 PM (GMT -6)   
That was my last symptom before getting into remission. I was still having a ton of urgency but stools were formed some of the time. I honestly think that my brain was used to having urgency but my colon was healed and they weren't on the same page yet...
Sam(antha)
20 year old college student diagnosed in March 2005
Remission since January/April 2006- THREE YEARS!! YAY!!!!
4 400mg Asacol 2x daily, 10mg Elavil, 75mg Effexor XR for GAD, ortho lo

"Life is what happens when you are busy making other plans"
John Lennon


jujub
Elite Member


Date Joined Mar 2003
Total Posts : 10407
   Posted 4/11/2009 6:04 PM (GMT -6)   
Urgency is caused by lingering rectal inflammation. Keep up with your rectal meds to help you get the rest of the way into remission.
Judy
 
Moderate to severe left-sided UC diagnosed 2001.
Flared for 5 years, finally in remission with Remicade since March 2006.
Avascular necrosis in both shoulders is my "forever" gift from steroids.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. 
"My life is an ongoing medical adventure"
 
.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 4/11/2009 6:22 PM (GMT -6)   
I don't have rectal inflammation and I also have formed stools but I still have urgency issues so using rectal meds will not necessarily aid with that especially if you don't have any rectal inflammation, therefore urgency is not necessarily caused by linger rectal inflammation....it's pretty much the nature of the beast, it's not full remission if you're having urgency and/or frequency issues, there is still disease activity likely in the colon causing this...and also as callalily says, there is a brain-gut reaction going on and if you've flared for a long time then the brain-gut reaction would still be in high gear possibly linking the urgency issues.
 
The other reason why urgency isn't necessarily a result of inflammation in the rectom is that IBSers also deal with urgency issues.

:)


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

Post Edited (pb4) : 4/11/2009 5:26:17 PM (GMT-6)


Eva Lou
Veteran Member


Date Joined Sep 2006
Total Posts : 3442
   Posted 4/11/2009 6:27 PM (GMT -6)   
that's me to a T... very frustrating! I haven't had actual diarrhea in a very, very long time... good, no? Yet I still RUN to the bathroom, & if I don't get there in about 15 seconds, forget it, accidents.... Whatever is causing it, the brain or the colon, I'm hoping it too will stop. Sooner, rather than later. Do you see blood regularly? I do, pretty much daily. Not much, but definitely there.

diagnosed with UC '02
meds-
Asacol- 8 tabs/day
Remicade-10mgs/kg- since 4/07
Imuran- 150mgs/day
various probiotics
Fiber supplement
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30986
   Posted 4/11/2009 6:52 PM (GMT -6)   
With UC, the rectum will still be the last to heal from a flare, and the symptoms with low in the rectum inflammation can be formed stools and urgency.

Continue with the rectal meds for a while after you're completely off the pred....then once you're back to normal, you can consider to taper them.

Hang tough....

Now, as a helpful statement....recognise these symptoms for when you start to flare, the opposite is true, and don't wait for diarrhea to occur, which means higher inflammation. Oh, and if you have a spell of constipation before that, for sure it's a flare.

Keep us posted as to your progress.

quincy
*Heather* Status: mild flare enemas tapered to every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate). @ bedtime
~various digestive enzymes as needed; started Omega 3 
~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 4/11/2009 7:41 PM (GMT -6)   

Be happy you have a rectal medication you can tolerate. I can't find one so relying on prednisone and 6 MP.  Good luck!

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008  Cannot tolerate mesalamines, Canasa, etc. Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred.
Started on prednisone Feb.7, 2009 - tapering to 20 mg. for two more weeks. Bleeding returned - no call back from doc so I upped prenisone to 25mg. on my own - 6MP - 50 mg. 4/2/2009 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 4/11/2009 7:56 PM (GMT -6)   
quincy said...
 Oh, and if you have a spell of constipation before that, for sure it's a flare.



quincy

Really, is that a for sure in every persons case?  That's odd considering we all vary when it comes to IBD in general.

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


quincy
Elite Member


Date Joined May 2003
Total Posts : 30986
   Posted 4/12/2009 1:06 AM (GMT -6)   
OMG pb4....did I say every person ...and I pretty much am talking UC, so assume that unless I stipulate differently.,,,does that clarify?

I'm also talking in context in my entire post based on UC inflammation, progression or healing of UC and the .... uh.....general symptoms that most people miss.

No more happy faces for you from now on..|-b

q
*Heather* Status: mild flare enemas tapered to every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate). @ bedtime
~various digestive enzymes as needed; started Omega 3 
~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 4/12/2009 1:17 AM (GMT -6)   
So to clarify, for every UCer if they have a spell of constipation before that, for sure it's a flare?  Weird, cuz I though that UCers all varied with their symptoms as well, didn't know when it came to having a spell of constipation before that, for sure it's a flare for every UCer, huh, that's odd, so in that respect it's a given for every UCer, learn something new everyday.
 
That's okay, I got lots of smilie faces for the both of us :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) :-) and even a yeah
 
smilewinkgrin  
My bum is broken....there's a big crack down the middle of it! LOL :)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30986
   Posted 4/12/2009 1:35 AM (GMT -6)   
Did I say every? There's a progression of symptoms of very mild to severe....most UCers don't even recognise symptoms until they're "obvious" and fit into their criteria of a flare.

For UCers who do experience constipation....it can be definitely be a symptom of low in the rectum inflammation. Usually confirmed (but forgotten) after more obvious symptoms increase....

For me, it accompanies stomach pain that's obviously not related to reflux.....it's different.
quincy
*Heather* Status: mild flare enemas tapered to every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate). @ bedtime
~various digestive enzymes as needed; started Omega 3 
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


qwerty1
Regular Member


Date Joined Feb 2009
Total Posts : 402
   Posted 4/12/2009 6:35 AM (GMT -6)   
Thankyou for all your replies...they're really helpful. The urgency is usually in the morning, however alot of the rest of the time I also experience constipation more than diarrhoea. Very irritating!  

22 year old female, from the UK.
 
Diagnosed with Ulcerative Proctitis Jan '08, Proctosigmoiditis Jan '09.
Hospitalised Jan '09 for 3 days IV Hydrocortisone - had no effect!
Hospitalised Feb '09 for 7 days (5 days - IV Hydrocortisone)
  
Currently taking daily: 
10mg Prednisolone tablets (tapering from 40mg)
5mg Prednisolone suppository x 1 (Alternating each day with 1g Acetarsol suppository)
1g Mesalazine granules x 2
 
7.5mg Zopiclone (taken every other night for sleeping)
10mg Citalopram (anti-anxiety/depression)
Vitamins A,C,D 
                             
                             


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 4/12/2009 7:04 AM (GMT -6)   
smilewinkgrin   smilewinkgrin   smilewinkgrin For all you guys!!  LOL
I would like to tell you - just for your info - I do not remember EVER having constipation - before UC, after UC or EVER - but maybe after gallbladder surgery for a couple days.  That is probably because I have diarrhea-type IBS.  So, in my 68 some years the closest I would remember constipation would be not having a BM for one or two days - not really constipation!
 
ElaineNY
 
Senior - New diagnosed with proctosigmoiditis - 6/2008  Cannot tolerate mesalamines, Canasa, etc. Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred.
Started on prednisone Feb.7, 2009 - tapering to 20 mg. for two more weeks. Bleeding returned - no call back from doc so I upped prenisone to 25mg. on my own - 6MP - 50 mg. 4/2/2009 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 

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