Can't shake this bleeding

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Max3732
Regular Member


Date Joined Apr 2009
Total Posts : 48
   Posted 6/7/2009 6:37 PM (GMT -6)   
about a month ago I had a flare up (going 6+ times a day, BM not formed, lots of blood, etc) which gradually got better. The past couple weeks I've been down to just twice a day and perfectly formed, but for some reason in the morning there is no blood, but at night there is blood on the paper or a little in the toilet. Also, sometimes I have to go and its just blood.

I'm taking coumadin and my INR was a bit high, but I've since cut back on the dosage. I'm also taking 6mp and have been eating at least 2 bananas a day and been drinking good belly probiotics or yogurt after every meal. My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.

fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 6/7/2009 7:46 PM (GMT -6)   
I don't know...do you have hemmies? If so, I imagine the blood thinner would make them bleed more. I hope you get it figured out soon!
Status: Remission since late May 2009!
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 twice weekly, Culturelle probiotic, and Zoloft (25 mg).


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/7/2009 9:04 PM (GMT -6)   
Max3732 said...
 My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.
Well, "lamps" can be pretty hard to digest LOL (sorry, couldn't resist on your little type-o there)...but seriously your diet sounds pretty healthy (granted that is if you're not eating junky stuff and too much refined sugar and such, cuz eating healthy and putting junk in as well is an obvious contradiction to your diet/health).  You should talk to your doc about the high INR from the blood thinner to rule out that possibility...one thing I was wondering about was if you're using rectal meds (or have any rectal disease activity at the moment?)
 
The fact that it's only happening at night may simply be the nature of the beast of having an IBD as well and not necessarily to do with anything else.
 
:)


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


Omans
New Member


Date Joined Mar 2009
Total Posts : 18
   Posted 6/7/2009 9:16 PM (GMT -6)   
Hello,
I'm currently dealing with the same thing. All signs of the flare-up are gone, except streaks of blood if I have a bowel movement in the afternoons. The morning are fine, feel good and going twice a day, so I just don't get it. I just can't shake that last part.

Hope someone can help us both!
28 Years Old.
Diagnosed Dec 2007
3 Asacol 2x a day; Prednisone During Flares
Typically flare once a year.


quincy
Elite Member


Date Joined May 2003
Total Posts : 31006
   Posted 6/7/2009 10:09 PM (GMT -6)   
I second rectal meds.....of course, I'm biased considering they've worked so well for the past 20 years.
 
Max...do discuss your blood tests and meds with the doctor and have him/her explain whether there is a correlation.

q


*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas 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 !!!
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/7/2009 10:24 PM (GMT -6)   
quincy said...
I second rectal meds.....
 


q

I knew you would tongue
 
:)


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


quincy
Elite Member


Date Joined May 2003
Total Posts : 31006
   Posted 6/7/2009 10:31 PM (GMT -6)   
Well, it just wouldn't be right if I didn't..haha
q
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas 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 !!!
 


burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 6/7/2009 11:44 PM (GMT -6)   
I had taken Warfarin (coumadin) for 8 months last year because of my UC-related DVT (deep vein thrombosis). I saw blood quite often during that time and I thought it's because of the Warfarin.
But after I was off Warfarin last October I still see blood a couple of times every week. But my GI doctor doesn't seem to worry about it.
And if I use Entocort (steroid) enema before I go to bed I surely won't see blood the following day.
Ulcerative proctitis diagnosed in July 2006. Medications: Salofalk enema nightly.
Remission from Nov 2006 to Oct 2007. Then a bad cold and a bad flare for 1 year till Nov 2008.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema, Salofalk suppositories, Salofalk tablets 1000mg x 3/day, Entocort enema (tapering).
Supplements: Calcium with Vitamin D, Vitamin B Complex, Vitamin C and psyllium capsules (Metamucil).


Cfromutah
Regular Member


Date Joined Mar 2007
Total Posts : 369
   Posted 6/8/2009 1:47 AM (GMT -6)   
I agree with pb4, its got to be the lamps. Lol

mbx5
Regular Member


Date Joined Sep 2007
Total Posts : 365
   Posted 6/8/2009 8:22 AM (GMT -6)   
Same here w/ the bleeding. I am trying to taper pred and I get blood....I am on Imuran now, and have been for about 30 days - I am hoping this will kick in and help...
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"


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 6/8/2009 10:26 AM (GMT -6)   

I tapered to 10 mg. and now on 6 MP - most problem I have is blood - still have it mixed with mucous some every morning.  Otherwise feeling pretty good.  My appointment with specialist in Albany is next week so staying where I am until then - hope he has more answers for me.

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.
 
 
 


Max3732
Regular Member


Date Joined Apr 2009
Total Posts : 48
   Posted 6/8/2009 11:27 AM (GMT -6)   
pb4 said...
Max3732 said...

My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.
Well, "lamps" can be pretty hard to digest LOL (sorry, couldn't resist on your little type-o there)...but seriously your diet sounds pretty healthy (granted that is if you're not eating junky stuff and too much refined sugar and such, cuz eating healthy and putting junk in as well is an obvious contradiction to your diet/health). You should talk to your doc about the high INR from the blood thinner to rule out that possibility...one thing I was wondering about was if you're using rectal meds (or have any rectal disease activity at the moment?)


The fact that it's only happening at night may simply be the nature of the beast of having an IBD as well and not necessarily to do with anything else.



:)


I thought that eating lamps it might make me brighter, but I'm going to switch to lamb now.

Aside from the foods I mentioned I also have toast with the eggs, as well as english muffins or crackers. I haven't eaten out in over a month (so no fast food or anything I haven't controlled). Another thing I've noticed is that sometimes I have to strain a bit and then I go a lot, so I'm thinking it might be constipation which is making the bleeding worse.

My doctor said that one of the side effects of an INR that's too high is rectal bleeding, so aside from cutting back on the coumadin do you think it might make sense to start eating foods that are high in vitamin K that lower the INR? I haven't been eating any greens b/c of the flare up, which is probably why my INR is so high. I've also lost some weight.

So the consensus is that some kind of enema might help with the bleeding?

Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2156
   Posted 6/8/2009 12:06 PM (GMT -6)   
Max3732 said...

I thought that eating lamps it might make me brighter, but I'm going to switch to lamb now.

 
You sound a little sheepish...    wink
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. 


qwerty1
Regular Member


Date Joined Feb 2009
Total Posts : 402
   Posted 6/8/2009 12:42 PM (GMT -6)   
Haha I'm loving the lamp/lamb jokes...tehe! smilewinkgrin
22 year old female, from the UK. Diagnosed with Ulcerative Proctitis Jan '08. Hospitalised Jan '09 for 3 days IV Hydrocortisone - had no effect! Hospitalised Feb '09 for 7 days (5 days - IV Hydrocortisone)
  
Currently taking daily: 
20mg Prednisolone tablets, 100mg Azathioprine (started taking 11th May),1g Acetarsol suppository every other night, 1g Mesalazine granules x 2 
Motilium (anti sickness), 1.5mg Zopiclone (taken when needed for sleeping), 10mg Citalopram (anti-anxiety/depression), Probiotic Multivitamins 
                             
                             


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/8/2009 1:10 PM (GMT -6)   
Max3732 said...
pb4 said...
Max3732 said...

My meals are basically chicken, lamp, salmon, tuna, or eggs with plantains, crackers or rice.

Is there any way to tell if the bleeding is b/c of the high INR from the blood thinner or if its still a problem with the colitis. Why is it always perfect in the morning but usually have blood at night? After a month of this I really miss eating out and having other foods.
Well, "lamps" can be pretty hard to digest LOL (sorry, couldn't resist on your little type-o there)...but seriously your diet sounds pretty healthy (granted that is if you're not eating junky stuff and too much refined sugar and such, cuz eating healthy and putting junk in as well is an obvious contradiction to your diet/health). You should talk to your doc about the high INR from the blood thinner to rule out that possibility...one thing I was wondering about was if you're using rectal meds (or have any rectal disease activity at the moment?)


The fact that it's only happening at night may simply be the nature of the beast of having an IBD as well and not necessarily to do with anything else.



:)


I thought that eating lamps it might make me brighter, but I'm going to switch to lamb now.

LOL Max!!!!!!  And ack2009 that was a good one too!!!
 
Max, If you're having disease activity in the rectom then definintely go on rectal meds cuz that alone could very well be the cause of the bleeding (blood streaked stools as well).  If you are having to strain I'm wondering if you're drinking enough water daily?  Are you getting in enough fruits and veggies daily on a regular basis?  Fibre does aid with either D or C, but drinking enough water is a must as well.
 
:)
 
 
My bum is broken....there's a big crack down the middle of it! LOL :)


mudua
Regular Member


Date Joined Apr 2007
Total Posts : 459
   Posted 6/8/2009 1:27 PM (GMT -6)   
Vitamin E enema stopped my bleeding within a day

bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 6/8/2009 4:16 PM (GMT -6)   
I had the same thing and it was my hemmies...get a sig or see a color rectal doc and have them take a look to be sure. Hope you feel better : )
Moderate Pancolitis
Dx'd 05/2007
8 Pentasa per day (4/2)
Corti Foam p.m. 3-4X per week
Curcummin and Probiotics/Rueteri.
Bowel Soother and IntestiNew, Fish Oil, Calcium/Mag/Zinc, Multi Vitamin and Melatonin
Eliminated Fructose and Corn Syrup
Could never tolerate artificial sweetners
I try to excersice/swim daily
Did I happen to mention I HATE this disease!!!
 
*Recent Changes In Blue*


kretinist
Regular Member


Date Joined May 2009
Total Posts : 33
   Posted 6/8/2009 4:20 PM (GMT -6)   
Just a thought but blood that's not mixed in with poo can also be from constipation...
Mom to:
 
Number One Son -
Sigmoidoscopy followed by full bowel study 3/2008
DX with ulcerative colitis 3/2008
Blood transfusion 3/2008
Hospitalization for two weeks
Stroke caused by colitis 3/2008
ICU for two weeks
Second blood transfusion
Rehab in-hospital for two months
Colonoscopy 6/2008
Not in remission
 
 


saposs
Regular Member


Date Joined Nov 2008
Total Posts : 339
   Posted 6/8/2009 5:46 PM (GMT -6)   
even i get blood/mucus during day especially 1-2 hrs after my morning stools.  i  was guessing the stool movement must be irritating the colon and  them bleed ... the reason for the daytime blood.... i m not sure if my reasoning is correct.
Right now -FLARING (after my Rubella vaccination)
Diagnosed in Jan'2009: Canasa suppositories 1000 nightly - worked for 2 months then re-flare
13 may: canasa 1000 X2 daily for 2 weeks - to start Lialda after 2 weeks if canasa double dose does not work
Lialda X2 started on 30th may.
Symptoms: Mucus, blood, constipated (not always), Lots Gas
Also gifted with Hypothyroid & have calicum deficiency family history!
Also started Probiotic from 23 Mar & fresh Turmeric root from 25 March'09- stopped both on 10th May

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