I'd suspect either a fissure or that you're starting to flare if you're having discomfort/pain to the point of feeling like your butt is straining to have a bm.
You'll know soon enough if it's a flare....regardless, if you have any rectal suppositories...over the counter or prescribed...use them. Or, you can try a hemorrhoid ointment.
I don't know what caused my UC....but it was after a violent and lengthy case of diarrhea...I suspect it was a bacterial infection of some kind. My family doctor didn't do stool samples..too bad. Almost 3 years later, the bleeding started and the GI did stool samples and other tests, nothing showed up...so, I think whatever the reason for the initial diarrhea, it was long gone, but left a mark as the trigger for UC.
I also have familially inherited autoimmune disorders and they do run on both sides of my family. So, I come by it quite honestly. I have no kids by choice.
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 4th 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 !!!