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Black blood vs mucous?

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Ulcerative Colitis
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Sam1996
Regular Member
Joined : Oct 2014
Posts : 125
Posted 12/17/2020 8:09 PM (GMT -7)
Looking for a bit of help. Lately doctors can't really tell for sure if I have crohn's or UC, so I'm looking for some thoughts. Here's the info. First few flares were straight UC, rectal inflammation all the way up no skip lesions. Blood tests indicate UC not crohns (still do). 10 year with disease. But last few years I've had I've been having 'skip' inflammation on colonoscopies. I'm not flaring per say. Solid stools mostly, but always tons of mucous, Definite pain, diarrhea every few weeks, occasional red blood in stool. It's just not going away. Dr says its either because of my enemas giving patch coverage towards the end of their reach, or that it's crohns. Over last few months though I've noticed occasional black specks in my poop. Kind of like sprinkles? Last couple days there's been some black 'mucous' textured stuff wrapped around my stool. Not in it though, just around it in the cracks/ridges. And the actual stool color is light brown, or regular brown. I don't know if its black digested blood from upper GI, some weird colored mucus, something I ate?

Looking for some thoughts from you guys. I know in my mind I'd rather have UC but denial doesn't help anyone...

Meds -
Allopurinol, mercaptopurine combo
Humira 40mg/inject 2x week (80mg standing in blood)
Mesalamine enemas 1-2x weekly
VSL3 probiotics
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Jane974
Regular Member
Joined : Feb 2017
Posts : 375
Posted 12/17/2020 8:35 PM (GMT -7)
Hi Sam,

The mesalmine enemas sometimes produce weird colors when they interact with blood etc. I've seen dark purple or blackish color on the toilet paper a few times before. See if there is a relationship between when the black happens and mesalamine enema use the night before.

In the meantime, have your GI order the fecal calproctecin test to check on your inflammation and ask your doc about doing a scope if this continues.
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Donnie Brasco
Regular Member
Joined : Apr 2014
Posts : 64
Posted 12/18/2020 10:29 AM (GMT -7)
Hey Sam, how is your physical activity? Do you exercise often?
I have UC and I actually came here today for some opinions myself, I have been in a flare for 3-4 months now, finally my poops are formed but my rroids are extremely enlarged but thats another story. So i too have seen what you describe, sometimes i saw dark tarry matter mixed with mucus in the cracks of the stool. But it was not consistent. And i was doing mesalamine enemas when that was happening. Now i’m doing hydrocortisone Enemas and they did wonders for me - trying to taper off them.
Check this out now. We had a snow storm and yesterday all i did was shovel snow all day. A very active day compared to my sedentary past 3 months. Today stool was covered in white mucus .. never seen that much. But man I feel great from all that snow shoveling. So idk if this excess mucus is good or bad - i’m still doing 1/2 hydrocortisone enema every night which my intestines absorb completely. I’ll be doing more shoveling today 😂
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quincy
Elite Member
Joined : May 2003
Posts : 32474
Posted 12/18/2020 1:18 PM (GMT -7)
Hi Sam...From my UC experience, the rectum doesn't heal separately with enema use. Always from top down, and confirmed with scopes. And I've been on enemas (varied schedule use asmin my sig) one month short of 32 years.

In saying that, I would suspect that CD would heal as you're experiencing since you seem to fit the criteria.

Blood tests don't confirm CD or UC, so using that as a determiner would just add to confusion.

I've had black seedy spots on occasion in my stool, but thinking more than likely food related.
Mucus, blood and enema would colour dark...with foodstuff possibly.
For you having stool samples would be best methinks.

q
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