Posted 6/3/2021 6:41 AM (GMT -6)
Looks like the oral and rectal mesalamine may not be keeping things stable anymore. I have hemorrhoids, both internal and external, and my doc thinks that may be the culprit. But I keep having intermittent bleeding, every few days with some mild cramping. No urgency and stool remains fully formed. I go about 1 x per day. At a crossroads about whether to move to immunosuppressants. The other issue is that I am doing a lot of traveling in the fall, away 3-4 months at a time. My doc also suggested that I should consider imuran or Xekjanz to be on the safe side, just in case this is inflammation. Have never been on anything else but 5-asa. Would appreciate any feedback or thoughts. My last sigmoidoscopy found no signs of inflammation. That was in January 2021. So, at a loss as to what to do here. Thanks.