Food won't cause your bleeding but others will disagree. If you're on 16 Asacol and rectal meds...something's up and if your UC is spreading, you're in a very fragile state.
Menopause, hormonal changes will definitely affect your UC....
I had a hysterectomy at age 38 in 1993. I hadn't bled with flares, however for almost 2 years even though I was in a most stressful situation going back to school to start my interpreting career.
I was on an hrt since then and eventually went on the patch once my liver enzymes increased. 2 years ago, I decided to taper off them....well, once the hot flashes started and my body was fully in menopause, I flared and was totally humbled by the bleeding. YIKES...hadn't had any bleeding with flaring since before my hysterectomy.
Now, even though i'm using a low dose HRT patch (soy)....my blood tests say I'm going through menopause....I've bled with my latest flare just over a month ago.
Maybe we who are in that age bracket are making history regarding flaring and bleeding. You're way over the 20 year mark...I'm over it considering I was flaring before diagnosis for 3 years....so maybe that category is something that should be studied??
I don't know what the solution is....but I must also add that higher doses of 5-ASA and steroid enemas can cause some bleeding....
If the tissue is friable (fragile and bleeds easily), it's possible that any increase of colonic movement will cause it to react as well....pizza has lots of fat in it and an increase of bile acids will also be involved.
Can you not take any 5-ASA enemas?
Can you possibly try any other 5-ASA oral meds such as Lialda or Apriso?
What is your dosage pattern with the oral meds....twice daily? 4x daily?
*Heather* Status: ...Asacol 3 twice daily; Salofalk enemas every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x 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....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ 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 !!!