It's pretty much most UCers have the rectum involved....I best not say all...but it's not a common thing for it to not.
But, if you were initially diagnosed with UC...I'll bet your rectum was involved.
One interesting article I read not too long back (but I don't have the right wording...so, I'll wing it as best I can)...With some UCers, their rectum will become "fatigued" in the way that it doesn't get inflamed anymore...just above it if that's also affected.. I think it has to do with chronic rectal inflammamation...or certain meds.
Must find the article.
You can easily get a copy of your report....
The other thing is that you don't have UC but you have CD....or you are misdiagnosed having something else. There are other bowel disease/disorders/invaders that can mimic UC.
Ask for your initial report since it's your body you're enquiring about
The bleeding would come from above....maybe a patch that's overly fragile..
Are you not on any other meds at this time?...have you never tried any 5ASA meds such as Asacol/Pentasa/Colazal?
*Heather* Status: ...Asacol 3 twice daily; Salofalk enemas every 3rd 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 !!!