It can be quite difficult to separate symptoms of UC from those of IBS but it's great that your GI is treating you for both. If you don't know this already the one big diff. between the two is that bleeding is associated with UC whereas IBS is not linked to blood. If you have cramping and multiple non-bloody D after eating/drinking that sounds like IBS.
Fiber pills: very good advice from miestomaga about fiber pill intake timing. Also not all fiber pills are the same. Many people have to find the one that agrees with their gut. Metamucil upsets my gut but Citrucel (or the generic of it) is OK. Some people take psyllium seed and other prefer psyllium husk. Because fiber from food causes constipation for me (weird huh) taking fiber pills is necessary for me.
Diet modification helps both my IBS and my UC and makes my worst symptoms disappear. Keeping a food journal can help you pinpoint the foods/drinks causing problems. Since you've had a sensitive gut for years you probably already know some of these. My celiac test said I am not celiac but removing gluten/wheat from my diet made bleeding stop. The lactose test likewise said I am not lactose intolerant but removing most milk products made gas/bloating go away.
Like you I don't eat much fruit, due to fiber and fructose in my case. But veggies are a great way to get vitamins and meat has a lot of vitamins too.
Rectal meds: If you are bleeding you need to use mesalamine enemas at night and Canasa suppositories daytime. Pills don't reach this far and direct contact of medicine rectally is the best healer.
Probiotics: VSL#3 is the only probiotic with medical studies backing up it's claims. Expensive but worth it. See if your insurance will cover VSL#3 DS. DS stands for "double strength" and it is double expensive. If insurance will not cover it you can order VSL#3 directly from the company. Get the "sachets" not the pills, they have the highest dose of probiotics. You can mix the dose in applesauce or mix it with water and drink. I take probiotics in the evening when stomach acid is lowest.
Welcome to the forum.
Many of us have both IBS and UC and use diet/food for symptom relief.
Hope your gut is acting better soon.
Thank you for your response imagardener2!
Yes, this episode on Saturday was non-bloody - probably went about
4-5 times, but cramping and definitely diarrhea, no blood though, thank goodness!
That is good (I think?) to know that it is most likely the IBS and not the UC flaring up.
I did definitely eat and drink more than usual in the days leading up to Saturday - had some wine on Christmas Eve and champagne on Christmas and I do think that alcohol has correlated with my stomach issues in the past.
I was in CVS today and was a little overwhelmed with the fiber supplements. I finally got a small container of the Metamucil powder. I thought that might allow me to better control the doseage and work my way up, rather than a pill that would be a set dose.
I don't eat meat, except occasionally chicken and turkey and fish, but one of my goals this year is to improve my overall health, hoping to eat more fruit and vegetables but will have to do trial and error, since I'm not sure which (if any) will disagree with me.
I have never tried any enema or rectal meds - my dr. never discussed them with me and Apriso is the first/only med I have tried. Curious if that is something that I should consider.
I found the VSL on Amazon and have an Amazon gift card from Christmas that I used! I ordered direct from VSL but I ordered the pills - I didn't see the sachets on there... Well I got the 60 pill bottle - was over $50 but my gift card was for $50 and I got free shipping so it cost me less than $10. Will see how it goes and then go from there. Can a dr. prescribe them? My insurance and prescript
ion plan are pretty good so that might be a good route to go to save $$$. I am single and have only my income, but luckily great insurance and prescript
ion plan - I definitely needed it after the hospital stay.
Thank you again for your response - this board is very informative and supportive. Sometimes I feel embarrassed or don't want to discuss with friends/family/co-workers. This is a great place to go to ask questions from those who have "been there" since I don't think people who haven't would truly understand...