Does this type of bleeding happen only with hemmies?

Hi, so basically Ive been bleeding again for the past couple months. I have pancolitis, last sigmoidoscopy showed moderate 4cm inflammation so I've been on nightly mesalazine foam enemas and morning budesonide for 1 month, still bleeding.

Thing is, I notice blood usually only if I have to push a bit or its a solid biggish BM that on a usual day would feel like a 10/10 but upon wiping, bright red blood on the paper.

Previously my GI has seen I have had hemmies and put it down to that before the sigmoidoscopy.

My question is, if there is an active 4cm flare, would more blood come out or even sometimes drip out when pushing or is that sounding a lot like a hemorroide would do?

I still cant get it round my head how I have 4cm inflammation after 5 months of nightly retention Salofalk enemas and another month of nightly and daily foam ones.

Yeah I was thinking about that also, that perhaps the suppositories would coat that area better. Ill bring it up at my appointment tomorrow.

Been on the budesonide foam though which is the steroid for a month and still bleeding but maybe the same, its staying further away than where the issue is.

Thanks.

Would I be right in thinking that it could in theory help both problems, both the 4cm inflammation and the hemmie in that case?

Not sure why, but I assumed hemorrhoids had to be fixed some other way, I didn't realize they can just stop with steroids.

The other thing about enemas is that if you have a swollen hemi you could be scraping it with the nozzle which could be causing the bleeding

From my personal experience, the Mesalamine enema is irritating my hemi, I believe one of the ingredients, not the nozzle.
Recently I switched from Canasa supp to Generic Mesalamine supp and my hemi flared again!

The dripping would most likely be from something else...hemmie or fissure.
Ask your GI to send you to an anorectal specialist or ask him specifically to put you on meds to treat them. So frustrating for you to be dealing with this.

In the meantime...add foods that will soften your stool. If I have to do it quickly I increase vitamin C supplement intake.

q

MM, do you have the ointment? If yes, use it after your suppository and the enema.

q

Just a note on flagyl. It’s the antibiotic of choice for colon issues but I do horrible on it and refuse to take it now. It gives me diarrhea and nausea so bad I can’t eat — not to mention the constant horrible taste in my mouth and then I get very emotional and depressed to the point that I feel hysterical. So my guess is the diarrhea is from the flagyl. (Most people don’t react to it the way I do. )

Well, 3rd day after stopping the abx, and yes, no blood but 4-5 times a day diarreah, like opening a tap... I do hope this resolves soon.

Im following the BRAT diet for a few days to see if that helps...


darn antibiotics..
1Wish.

I started taking the probiotic called Prodefen Plus during the course of abx and Im still taking 1 sachet daily. Im not taking any fibre supplements. I assumed that would just make me go more.

I'll get some.

Thanks.

Uc30 said...
I was diagnosed with ulcerative colitis at 15. I’m now 43 so, I have tried a lot of natural products and medications. The most effective medication I found to stop the bleeding and abdominal pain is a natural product called allimed. I buy it from a company in the U.K. because the prices in the United States are ridiculous for this product (U.K. price is around $60 for 100 450 mg pills) I was constantly bleeding and this product is the only thing that worked to stop the bleeding. Take care! Jeff

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