Bleeding comes from the fact that the tissue is "friable" or fragile and has started to break down and easily peel away. There's a process of the destruction of tissue...not all have visible ulcers or ulcerations..but yes, you would only have bleeding with inflammation, and as princesea mentioned..it could be from anal tears (fissures) or hemorrhoids.
What other symptoms are you having? Diarrhea?
Since UC starts at the rectum, it seems it's the last part to heal as well as the first place to start. Considering the wear and tear it gets during bms..it will still be fragile..especially with more formed bms.
You should really consider to discuss rectal meds with your doctor...I'd suggest 5ASA retentions enemas ...to help the healing process.
I also support the probiotic suggestion.
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!