Reintroducing alcohol after a flare

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Regular Member

Date Joined Feb 2010
Total Posts : 72
   Posted 1/11/2017 2:37 PM (GMT -7)   
Hello all - mercifully absent from the contributing side of this forum for almost 7 years, flare free. Am wrapping up a flare apparently caused by a stomach bug, it hit like a train instead of easing in with symptoms etc.

I've only flared 3 x, always previously due to antibiotic use. No "organic" flares ever. Have done the usual 40 mg prednisone and Rowasa. Am down to 10 mg taper super slow, and have reintroduced things that are still causing problems (salad, rich food, corned beef and cabbage - what was I thinking!?)... understandable with the heavy fiber or crazy food. But have never had an issue with wine, which we drink regularly.

Now that I'm down to 10 mgs, I had a few glasses over the holidays ----blood. No other issues (urgency, tenesmus, BM after any food), just blood. Pulled back tried again. And again yesterday. Anyone have this issue? Is it the function of the gut permeability / gut barrier? Any other thoughts or research? Glutamine powder 2x a day?

Feedback appreciated, unless it is "stop drinking forever". And yes I will mention to Doc.

Best to all, hang in there, this has been a really long frustrating flare for forget how sick you can be when you're well!

40+ y/o female
Dx 12 years
Lialda, 4x day
Rowasa as needed / flare
Lotsa supplements

Veteran Member

Date Joined Jan 2010
Total Posts : 5590
   Posted 1/11/2017 4:46 PM (GMT -7)   
Wine has never caused bleeding for me, or any other alcohol but if that is your personal observation then that's true for you. For me it's fiber or grains that can cause bleeding, never liquids although certain disliked liquids will cause IBS.

Took me years to link symptoms to individual foods but your gut is yours and mine is mine far as what causes what to happen. Red wine has been "out" for 10 years due to gut hating it, thank God white wine is still approved but never beyond 3 glasses or else.
Diet=gluten-free modified Paleo+potatoes+low dairy, low grain, no seafood (IBS),low fiber diet
In remission April 2010 after 10 years of UC after no remission ever
gluten-free =bleeding stopped, dairy-free (less IBS) started remission path+food diary
daily: Balsalazide 750mg and 2 Ginkgold tablet
rarely: VSL#3, mesalamine enema, Canasa supp

Forum Moderator

Date Joined Aug 2012
Total Posts : 10822
   Posted 1/11/2017 5:06 PM (GMT -7)   
I've enjoyed 3 or so beers over the course of a week while on prednisone at varying doses. Usually when a flare is at its very worst, i'll abstain from alcohol. Otherwise, I'm fine in moderation. Everyone is different with their individual reactions. Listen to your body and do what it likes even if that means waiting until you're fully healed. Because the reality is that alcohol is a known irritant of the digestive tract and some are more sensative than others to that effect.
Moderator Ulcerative Colitis
, 38, in a minor flare, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; 50mgs 6MP, 4.8g Mesalamine DR, 5mgs pred (tapering)

Tips for surviving UC: learn to laugh as it helps, get a good pair of running shoes for bathroom runs, and appreciate the small things.

Veteran Member

Date Joined Sep 2005
Total Posts : 4782
   Posted 1/12/2017 12:16 PM (GMT -7)   
Just to add to it, I never had an issue with alcohol when I had my colon. Sometimes that hangovers were worse because I would become dehydrated easier if I was flaring.

DX'd with Severe Pancolitis June 2005
Previous Meds: 5ASAs, Predisone, 6-MP. Remicade, Humira, Simponi, Cimzia & Cyclosporine
3-step J-Pouch surgery: 2013 & 2014

Total Hip Replacement: 12/16 -- Thanks Prednisone!!!
Current Condition: Chronic Pouchitis -- Not as bad as I thought it would be
Current Meds: Stelara

Regular Member

Date Joined Jul 2016
Total Posts : 317
   Posted 1/13/2017 4:03 PM (GMT -7)   
Alcohol doesn't injure my bowels, it would seem, but I still avoid it. Since developing UC, my liver is no longer as efficient, and I don't absorb nutrients as much. So it takes a lot out of my body to clear a night of drinking. I can get drunk on even half a glass of wine.

Wine quickens the blood, especially if you have it with a warm meal. Might be that the blood vessels in your bowel are not totally healed and the wine makes them bleed. The same thing happens to me when I take turmeric and other blood thinners -- my bowels might bleed even if I'm not flaring. I can't remember just now, but there are vitamins in the body that are linked to stronger blood vessels.

The other thing is that I can't have wine that isn't low in sulphites. My bowels get really cranky from non-organic wine.

Regular Member

Date Joined Mar 2015
Total Posts : 182
   Posted 1/13/2017 10:21 PM (GMT -7)   
I'm suspicious that sulfites cause problems, but I haven't tested it enough to be sure. Mixed drinks in moderation seem OK and actually improve abdominal pain, cramping (by easing stress, I think).
Male 54
Dx'd w/ UC 2013, flare since 4/14
Asacol HD 800mg, 6/day
Start Remicade 12/24/14, nonresponsive, DC'd 3/15
Start Humira, 8/1/15, nonresponsive, DC'd 12/1/15
Hydrocortisone enemas helped, regressed after stopping,

Start Entyvio 12/4/2015.
Restart hydrocortisone enemas 12/8/2015
Start UMass IBD_AID diet 12/1/2015
Improved, not full remission w/ Entyvio, hydrocortisone, IBD-AID

Regular Member

Date Joined Jul 2016
Total Posts : 81
   Posted 1/14/2017 6:55 AM (GMT -7)   
Alcohol has been attributed to inflammation which I'm trying to avoid it all costs. Gave up alcohol even casually/in moderation. Had a glass of wine during a light flare, the next day bleeding worsened. Had a glass of wine during remission, next 2 days my BMs worsened. Maybe I could get away with it, if I drink tons of water/supplements/eat a clean diet to counteract inflammation- just doesn't seem worth it to me.
26 F- Summer 2015 diagnosed Ulcerative Colitis
Past medications: Sulfazine, Sulfolax, Prednisone, Remicade
Currently: No meds, Paleo, plant and fruit based diet, fermented food, intermittent fasting, juicing, vitamin IV therapy.

Forum Moderator

Date Joined Apr 2004
Total Posts : 23549
   Posted 1/14/2017 7:42 AM (GMT -7)   
The only alcohol I can tolerate is vodka and white wines. My body just doesn't like the sulfites in red wine and "colored" spirits give me a massive hangover (even with one drink) and it makes my gut cramp. What kind of wine do you drink?
Moderator-Allergies/Asthma, Alzheimer's, IBS, Co-moderator-UC
Diagnosed Left sided UC '92 - meds: Apriso, Remicade) Unable to tolerate MOST mesalamines* Currently in Remission, IBS, Diverticuliar Disease, Fibro, Sacroiilitis, Raynauds, OA, PA, Rosacea, Psoriasis, Dry eye syndrome (which caused a blockage -had the DCR surgery 2015 success!), allergies-Zyrtec

Regular Member

Date Joined Feb 2010
Total Posts : 72
   Posted 1/14/2017 8:58 AM (GMT -7)   
Maybe a glass or two of red if eating steak or pasta but usually Pinot Grigio. Just did good for a couple of days again, then back this AM! Grrrr.

Serenity Now
Veteran Member

Date Joined Jan 2009
Total Posts : 2033
   Posted 1/14/2017 11:21 AM (GMT -7)   
It's interesting, alcohol seems to affect us all differently. For some of us it has a big impact on our UC. I am one that is greatly impacted by alcohol. During a flare I do not drink a drop or I will have increased bleeding right away.

During remission I can only drink it very infrequently. If my frequency increases (like more than twice a month - and I mean more than one glass per session), I can start feeling conditions worsening. It accumulates, so if I just have a couple glasses of whatever today and then wait a month before drinking again, it's okay. But if I have a couple glasses today then a couple glasses next weekend, and the weekend after that... well probably by then I will start to feel off and if I keep it up I'll be on my way to a flare. But it's not like: one glass, immediately I start bleeding.
Female, 50, Vancouver BC
Pancolitis: Currently in remission

Jan-Mar2009: Asacol HD. Resulted in severe joint pain and no discernible benefit.
May26-Sep4/2016: Mezavant 4800 mg
Sep5/2016 - : Mezavant 2400 mg

Veteran Member

Date Joined Dec 2006
Total Posts : 3520
   Posted 1/14/2017 1:58 PM (GMT -7)   
my best drink is malibu rum and club soda, easy on the gut. Yeah, I haven't been able to drink for a while. This disease is a bummer!!!! When I feel good, I enjoy a cocktail, otherwise, it's very little sugar, bread, anything white.
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