Bowel activity in the morning

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Test Flyer
Regular Member


Date Joined Feb 2009
Total Posts : 27
   Posted 5/26/2009 5:21 AM (GMT -6)   
Anyone ever figure out why some of us with UC have such active bowels first thing in the morning right after wakeup?  is it because we digest quicker than those with normal colons?  I am nearly exactly the same every single morning - multiple trips to the toilet (some quite urgent... like get there NOW)  and then after 0900 it's like someone flips the switch and I'm good until the next morning - same time, same deal.  I've been pleased that my BM's are mostly formed, but broken (small pieces with curves and bends in it) and then the last BM is fluffy  - like second to last on that stool chart. 
 
anyone else with these habits?  Colonoscopy on a few days (first in nearly 5 years and I'm scared as hell as what they'll find).  paranoid?
Left side UC
diagnosed 1990
Azulfidine medicated
 


Blue220
Regular Member


Date Joined May 2008
Total Posts : 191
   Posted 5/26/2009 9:04 AM (GMT -6)   
I go through the same thing, whenever I wake up, every morning.

I can't leave for somewhere unless I know I am 'all clear' and don't have to go anymore.
21 years old

Diagnosed with moderate/severe UC June 2007, I've had it since December 2006.

Taking Lialda 3x a day<---NOT ANYMORE. I got pancreatitis from them. I stopped taking Lialda 8-19-08. Ugh!! All I take now is just my 3 Entocort in the morning, and 1 iron pill in the afternoon.

NOW back on Lialda as of 8-30-08, not the cause of pancreatitis. Going in for an endoscopic ultrasound on 9-19-08 to check things out. Still on Entocort and iron. Yay...

Haven't been on here in a while (finally graduated college). Update as of 5/26/09 - Now taking Imuran 100mg/day. Taking Caltrate, Iron, and B12. I still take one Lialda a day.. Don't know why.. Something is giving me horrible headaches. =[ At least I'm off the Entocort.


Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2105
   Posted 5/26/2009 9:11 AM (GMT -6)   
Yep, my system is always more active in the morning. I think it's the same for most people actually; just that with UC, we have more activity. Much more! My theory is that it's just that we are vertical for the first time in hours, moving around more, etc etc. Everything gets fired up and goes into action.

Good luck with the colonoscopy. If there's anything there, it's better to find it. Well, that's what I kept telling myself before mine and it helped my fear.... a bit.
ack, 42, Vancouver BC
 
DX: UC (Pancolitis) as of Jan2009.  Symptoms first began June 2008.
Current Meds: Ferrous Sulfate, plus various supplements
Previous Meds: Jan-Mar 2009: Asacol 800 mg (1 pill x 4 daily), stopped Mar14/09. 


mbx5
Regular Member


Date Joined Sep 2007
Total Posts : 365
   Posted 5/26/2009 10:36 AM (GMT -6)   
Definitely more active in the morning, not as active during the day unless I eat something nasty, then evening time rolls around and I have some urgency again.... I think our colons fill up over night w/ mucous, gas, and puss and blood, then once we wake up normal movements kick in and that stuff is first on deck which makes for some urgent trips to the toilet and some big explosions...

I just got a colonoscopy last week.... I was petrified as to what would be found - and actually I got good news - my pancolitis is now left side only... My biopsy results are not back yet however, so I dont want to jinx myself... initial findings were actually relatively good news.... The stress leading up to my colonoscopy made things worse so if you can try to keep calm and think positive!! I realize the stress - you have had UC a few years longer than I have....I always fear the looming find of dysplacia or worse.... :(
Stats:35 yr old male. UC for 15 years.
location:North Western PA
DX: Left sided UC, most recent scope 5/20/09 UPMC Pittsburgh Presbeterian
Medications:20mg pred (as of 4/27/09), 12x pills Asacol per day, 100mg Imuran per day, 1mg Atavan per day (anxiety) when needed, 20mg paxil per day, Super-omega fish oil pills - 1x per day, Flax oil pills - 1x am, 1x pm, Culturelle probiotics - 2x am, 1x pm, Vitamin B-12 injections weekly.
Surgeries: Recent Endonasal brain surgery to remove non-cancerous hormone producing tumor on pituitary gland (and I am still more afraid of my UC!!)

"I poop in the woods because I can"


Test Flyer
Regular Member


Date Joined Feb 2009
Total Posts : 27
   Posted 5/26/2009 12:24 PM (GMT -6)   
mbx5 said...
Definitely more active in the morning, not as active during the day unless I eat something nasty, then evening time rolls around and I have some urgency again.... I think our colons fill up over night w/ mucous, gas, and puss and blood, then once we wake up normal movements kick in and that stuff is first on deck which makes for some urgent trips to the toilet and some big explosions...

I just got a colonoscopy last week.... I was petrified as to what would be found - and actually I got good news - my pancolitis is now left side only... My biopsy results are not back yet however, so I dont want to jinx myself... initial findings were actually relatively good news.... The stress leading up to my colonoscopy made things worse so if you can try to keep calm and think positive!! I realize the stress - you have had UC a few years longer than I have....I always fear the looming find of dysplacia or worse.... :(

I agree that the anticipation of the procedure send the mind in all kinds of ugly directions - the amount of information on the internet doesn't help much, either.  I keep telling myself that my symptoms are far better now than previously so I'm hoping the scope will reflect the same.

Left side UC
diagnosed 1990
Azulfidine medicated
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 5/26/2009 12:51 PM (GMT -6)   

If I didn't have bad mornings Iwould not even think I had UC!  You are right - all piles up overnight - blood, mucous, etc.  Once that is gone - all is ok!

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008   Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred. No mesalamines!!
Started on prednisone Feb.7, 2009 - tapering to 20 mg. - upped prenisone to 25mg. on my own (bleeding returned) - 6MP - 50 mg. 2/28/2009 - staying on 10 mg. prednisone also until visit with specialist.
 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30586
   Posted 5/26/2009 2:17 PM (GMT -6)   
Your bowel wakes up in the morning as you do, and if there's any stool in the sigmoid, it'll download quickly especially if there's any rectal inflammation..hence the urgency and multiple bms.

Take advantage of morning bms....more convenient than anytime bms. Your bowel can become trained to have morning bms....it's a good thing from my perspective, for once you're in remission, morning bms can still be part of your morning regimen.

You should, however, also be on rectal meds.

REgarding the c-scope....it's good you're having one..first in 5 years since diagnosis or you mean first ever?

You might even want to ask to be kept awake somewhat so that you can watch the monitor...for me, that's the best part.

Yes, I would say most all of us are afraid of what they'll find...I'm always relieved when I hear "no precancer or cancer....that means no surgery". Any other inflammation I don't care about since it can be handled with my meds.

Please ask about rectal meds....since you're on sulfasalazine, you should be able to handle 5ASA rectal enemas or suppositories...of course, that would depend on how much inflammation you have rectally. But, they're invaluable in helping with early flares and maintenance remission..which is a good thing.

Keep us posted as to how your c-scope goes....

Oh, forgot to add you can consider fibre supplements...that also helps with regulating bms. I personally won't leave the house before my morning bm...and when I'm not flaring, it's not immediate. I like to drink coffee to trigger it...but that's become a habit, for it would work just as well with water.

quincy
*Heather* Status: mild flare enemas tapered to every 3rd 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). @ bedtime
~various digestive enzymes as needed
~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 5/26/2009 2:19 PM (GMT -6)   

I totally agree on the rectal meds - just wish there was one I could use!

ElaineNY



 
Senior - New diagnosed with proctosigmoiditis - 6/2008   Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred. No mesalamines!!
Started on prednisone Feb.7, 2009 - tapering to 20 mg. - upped prenisone to 25mg. on my own (bleeding returned) - 6MP - 50 mg. 2/28/2009 - staying on 10 mg. prednisone also until visit with specialist.
 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 

Post Edited (kops2da) : 5/26/2009 8:11:59 PM (GMT-6)


Test Flyer
Regular Member


Date Joined Feb 2009
Total Posts : 27
   Posted 5/26/2009 4:56 PM (GMT -6)   
quincy said...
Your bowel wakes up in the morning as you do, and if there's any stool in the sigmoid, it'll download quickly especially if there's any rectal inflammation..hence the urgency and multiple bms.

Take advantage of morning bms....more convenient than anytime bms. Your bowel can become trained to have morning bms....it's a good thing from my perspective, for once you're in remission, morning bms can still be part of your morning regimen.

You should, however, also be on rectal meds.

REgarding the c-scope....it's good you're having one..first in 5 years since diagnosis or you mean first ever?

You might even want to ask to be kept awake somewhat so that you can watch the monitor...for me, that's the best part.

Yes, I would say most all of us are afraid of what they'll find...I'm always relieved when I hear "no precancer or cancer....that means no surgery". Any other inflammation I don't care about since it can be handled with my meds.

Please ask about rectal meds....since you're on sulfasalazine, you should be able to handle 5ASA rectal enemas or suppositories...of course, that would depend on how much inflammation you have rectally. But, they're invaluable in helping with early flares and maintenance remission..which is a good thing.

Keep us posted as to how your c-scope goes....

Oh, forgot to add you can consider fibre supplements...that also helps with regulating bms. I personally won't leave the house before my morning bm...and when I'm not flaring, it's not immediate. I like to drink coffee to trigger it...but that's become a habit, for it would work just as well with water.

quincy

Thanks Quincy - you are right on the money - can't leave the house unless all bowel movements are finished and I do think my bowel is trained for mornings.  I think I aggravate the situation because after first BM, I drink a cup of coffee which likely disturbs the bee's nest that's already active.  I used to use coffee as a means of promoting BM's to speed things along in the AM.... Not real necessary now - just need the caffein jolt.
 My NP told me that rectal meds might help (the colonoscopy will show exactly where the inflamation is).  She also said that since the inflamation sounds like it's down low, the Azulfidine might not be very effective.  All I know is that it seems to be controlling symptoms to a few BM's in the morning with some mucous and lots of gas during the first one, a huge improvement over my early days.  Indeed, I have had several colonscopies in the past - just not one in 5 years (actually, a tad longer than that).

Left side UC
diagnosed 1990
Azulfidine medicated
 


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 5/26/2009 5:08 PM (GMT -6)   
I must be an odd UC-er, because I never had more problems in the morning. If anything, I was more active in the evening during my flare. Now that I think I'm in remission, I'm having one or two BM's a day, and usually have one in the morning that seems to be triggered by coffee, like quincy. It's kind of nice to have a good poo before heading off to work for the day! :)
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa nightly, Culturelle probiotic, and Zoloft (25 mg).


Pitz
Regular Member


Date Joined Jul 2007
Total Posts : 84
   Posted 5/26/2009 5:28 PM (GMT -6)   
Yup, same here. Mornings are the worst for me. I do have some during the day sometimes, though, and usually one or two in the evening. I'm in a severe flare right now. Had my scope last week and biopsies turned out negative and no dysplasia...whew! However, the doc said my pancolitis is severe. I was awake and it didn't look good to me, either. My GI doesn't want to put me on prednisone again (I didn't want it, either) and upped my Remicade to 10mg/kilo and I had that today. I hope it works, 'cause the next step could be surgery. He's sending me to another doc who specializes a bit more and has a study going for some new med, but because I'm so sick it may not be good for me in case I get the placebo. I agree. I sure hope the Remi works 'cause I don't want surgery!

Ulcerative Pancolitis (dx'd 6/2002)
Pentasa (4gm/day); Prednisone 5mg am, 5mg pm; Aranesp injection every week for anemia;
Lialda 4 tabs 1x/day; Rowasa 2x/day; started iron infusions 7/18/08; started Remicade 11/12/08; blood transfusions when hemoglobin drops to 8.0;
6-MP (discontinued as it lowers my white count)
Immodium-AD (occasionally)
various meds for other conditions


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/26/2009 9:28 PM (GMT -6)   
Even crohnies that only have their small bowel affected by the disease have major issues first thing in the morning, so it's not necessarily anything to do with where your inflammation is (high or low in the bowels) it's just the nature of the disease of having inflammatory bowel disease.

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


quincy
Elite Member


Date Joined May 2003
Total Posts : 30586
   Posted 5/27/2009 1:32 AM (GMT -6)   
One wouldn't "go" unless there was something to expel....so for that fact, may people who don't have UC or CD have to go as soon as they wake-up. Our butts are sometimes on their own clock....

We are talking here about flaring, however....and to me, it's still a good thing to go first thing in the morning. At least it's "expected". If I don't go when planned, there is some "distress" mentally, and the more I wait, the longer it takes. Once the urge is there, I jump at it rather than holding it in...for I want to get on with the day.

q
*Heather* Status: mild flare enemas tapered to every 3rd 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). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


Jen O
Regular Member


Date Joined May 2009
Total Posts : 136
   Posted 5/27/2009 8:20 PM (GMT -6)   
I wish that it were only mornings that were bad for me.

My tradition with this flare tends to be this:
"OK" from 9:00 am until about 4:00 or 5:00 pm. Then running to the bathroom with liquid brown stools URGENTLY. Sometimes I go to bed and I sleep until 4:00 am or 5:00 am and not get up. Other nights, I get up 8-10 times per night with this URGENT need to get to the bathroom. My husband and I have been trying to figure out what makes me get up more or less often. He seems to think when I eat more calories I get up less. I have been keeping a food diary but I guess it is hard for me to figure out what to be looking for!


It seems like sometimes at night it is this drastic urge to get a teaspoonful of stool out. Not worth getting out of bed for but not worth having an accident for. At least being back on the PRED (30 mgs in the am, 10 in the pm) seem to have stopped the bleeding. Still waiting on the antibody tests for my Remicade to see if it has quit working for me. I had to have my blood re-drawn on Tuesday as the last "tube leaked"!

Jen
Age 34
Diagnosed with UC September 2008
Current Meds:
Remicaide
Just started taking Asacol 1200 mgs 3 x per day 5/7/2009
Biotin 5 mg
Vitamin D 2,000 IU per day
Calcium 1500 mg per day
Multivitamin


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/27/2009 9:05 PM (GMT -6)   
I would think fo most of us mornings are the most active but that doesn't mean it doesn't continue throughout the day, eve and night for many especially during more severe flares, but even when flares are less severe I think mornings for the majority are most active still...it's how it has always been for me at least...and I've had many times throughout the yrs where it's active around the clock as well.

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

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