Hi....yep, the bleeding would be normal if there is inflammation that's moderate to severe...unless you do have hemorrhoids?
The clotting could be mucus increase with blood in it...and if your frequency has subsided a bit, then the blood may pool/stay in the rectum longer compared to before, therefore looking more like clots.
It seems you are improving with the meds, and it's good your tummy is slightly better than it was. Low in the rectum "assult" can have tummy issues like nausea and pain more so than when inflammation is additionally farther up causing diarrhea.
I have a friend with what's called fistulising (fistulizing) crohn's...with multiple fistulas as well. She's had a few different surgeries, I think some have healed, others not...but because she has this particular type of CD, they're going to be a part of her life. She's my hero, truly!
She also does have an area of CD higher in her colon...so flaring is like a double whammy.
She's on Remicade (but not on a regular schedule), methotrexate, plus Asacol and a rectal steroid foam. On occasion, I think she requires metronidazole and other antibiotics.
All cases are different, however....and she has a very good doctor. Interestingly, the anorectal surgeon didn't even notice the fistulas....d'uh! She had to point out the possibility.
Please post after your surgery if you're up for it.....I'm interested in how you're doing.
*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/supplements; Probiotics....(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 !!!