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Regular Member

Date Joined Jul 2006
Total Posts : 132
   Posted 4/15/2009 12:09 AM (GMT -6)   
I have been having a horrible problem over the past few days - leaking blood out of my rectum. I am in the middle of a flare which my mesalamine suppositories are not touching. I don't get D with my flares. My symptoms are mostly constipation and tenesmus. When I try to go to the washroom the only things that I pass are blood (sometimes clotty) and mucous (and also tissue looking stuff). Previously I would only pass blood and mucous when I was straining, but now I just seem to be leaking it all the time. Now it is to the point where I am considering wearing a pantyliner because of it.

Thankfully, I have an appointment with my specialist on Friday. Anyone else experience this problem?

Dx: mild UC (proctitis/proctosigmoiditis) Aug. 2006 - Sigmoidoscopy revealed inflammation in first 15 cm

Meds: 500 mg Asacol suppository 1x per day

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 4/15/2009 12:30 AM (GMT -6)   
That is pretty extream, glad you'll be seein your specialist on Friday, maybe ask him for cortifoam, being a steroid based rectal med it may kick in quicker than the mesalamine long have you been using the suppositories for? You should definitely use a pantyliner under it clears up, so sorry you're going through this, hang in there (((HUGS)))

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

Elite Member

Date Joined May 2003
Total Posts : 31005
   Posted 4/15/2009 12:31 AM (GMT -6)   
Hi....I think you're not on enough medication, firstly.

You could ask the doc to prescribe dicyclomine, it's an antispasmodic that will help with the tenesmus.

I hope the doc takes a look-see to clarify it's only inflammation and not a fistula or infection or hemmie, etc as well.

Yes, wear a pantyliner to protect your clothes.....

If you have any gas at all, I would think that it would push out whatever is in the rectum as well...and if you're bleeding low in the rectum, that's what's there, it has no where else to sit except to exit out where gravity pulls.

An inflamed rectum, especially low in the rectum, will have less ability to "hold"...

You might find that adding a fibre supplement such as Metamucil Smooth will help a bit...

Keep us posted about your appointment on Friday....

I think you should still consider to use a higher dosage of suppositories...either 3 daily or ask the doc for 1000mg supps and use 3 times a day...or consider to add hydrocortisone foam  enemas or suppositories as well...

I truly feel for you.

*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 !!!

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