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Feces are laced with blood this morning

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Crohn's Disease
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Posted 10/23/2013 7:10 AM (GMT -5)
Hello all,
question...I am going to the doctor this afternoon, not the GI, but a PCP. This morning as I had a bowel movement, the feces were laced with blood all around...no pain, no discomfort, but they just...came out like that! I am wondering if it is pasta I ate, or too much I ate (thanks to Pred), or tapering down of Prednisone...I started at 40mg 2 weeks ago and I am currently at 30mg...tapering down 5mg each week.
Any suggestions? Any ideas? I have had 1 bowel movement a day, in the morning usually, and there was a drop of blood and I thought "ok, not too bad since it is not going to heal overnight", but then this morning it was a little more than a drop...so I am kinda worried now. I am supposed to start on Cimzia, but it all depends on what the PCP says today due to not having insurance yet, (waiting for it to kick in, in January), if she says ok, I will get it, if not, it will be another for 2 weeks to see what will happen and if she will refer me to a GI at the major hospitals bc my GI I paid privately and the PCP won't take into consideration what he says. I took a dose of Remi 3 weeks ago, don't know if that is wearing off or what is going on...only have an appointment with my private GI next week...so Idk...should I call him before going to the PCP today and see what he says?
Thanks for any help.
Posted 10/23/2013 8:39 AM (GMT -5)
If you can tolerate mesalamine, I would ask for mesalamine enemas (assuming the blood on your stool is due to rectal inflammation) or at least steroid enemas to address this very local problem.
Posted 10/23/2013 9:12 AM (GMT -5)
Thanks Kaz! I don't know if they discontinued Lialda for me bc the mesalamine was doing more harm or not...i don't know if that is the same thing in penstasa, bc I am taking that now...but I will ask what could be.
Thanks again.
Posted 10/23/2013 9:47 AM (GMT -5)
Pentasa & Lialda all have the same active ingredient, mesalamine. It sounds like you aren't having a bad reaction to Pentasa (that would be diarrhea). I would absolutely ask for mesalamine enemas and then use them nightly until the blood is gone.
Posted 10/23/2013 10:22 AM (GMT -5)
Thanks...will do!
Posted 10/23/2013 2:42 PM (GMT -5)
I also have internal hemmeroids (sp?) and I get some bright red blood with bowel movements. The blood in that case would be on the outside, not inside the stool. If that is the case a steriod suppository like Anusol HC would help clear it up. I hope the PCP can help
Posted 10/23/2013 3:11 PM (GMT -5)
I went to the PCP, and she got me an appt right away for the GI, tomorrow already! I am thrilled, he will be able to give me all my meds now, I hope, even cimzia or remicade if necessary. Thank Lord Jesus. This is the most hopeful I have been in weeks. Insurance is so tough right now and I am basically living on minimum wage, which is very unfortunate. Thank you guys for your input. She didn't give me anything for the bleeding bc she is not a GI and the appt is tomorrow already, so, she left it up too the GI doctor tomorrow.
Thanks! Hope everyone is doing well.
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