Pic - is this amount of blood normal?

is your stool ribbon-shaped??

kk...basically...yes, because the lining is less fragile. You would still have inflammation if your symptoms are conisistent...remember, that we can have IBS symptoms which can seem like UC symptoms but without the inflammation. IBS has no bleeding.

the fact that you had c-diff could be important. It's possible you need to be checked out that your colon is clear of it.

Are the seedy thingies black or red? It could be stool, fibre, certain foods that change colour once bile hits it.

The red jam type of consistency could be blood mixed with mucus...which I would assume would be flaring. If you have internal hemorrhoids, then it could be that if you had a bm, no blood, then later a small bm with mucus and blood. But, if you have consistent jammy bms...I say flare.

You should be on rectal meds regardless...can you use the Salofalk retention enemas? The other option could be steroid foam or liquid retention enemas...but I alsays suggest the 5ASA firstly...unless you can't use them.

The other suggestion would be the Salofalk suppositories.

I would encourage you to take a fibre supplement ... Iuse Metamucil orange smooth...not the kind that's sugar-free. It really bulks/fluffs/softens the stool, which makes it easier upon exit. I do have a fissure and external hemmie, and it's been pretty darned good.

Are you using probiotics? They will be helpful to you as well.

Hope this helps...
quincy

Hi kk..-the white like seeds-....could be fat globules or mucus or bits of the asacol medication. It could also be (hate to say it and I'm sure you've been checked and it most likely isn't) parasites.

-dripping blood in the toilet-... it could be a fissure (I get that when I rip it open after wiping) and maybe an internal hemorrhoid (but I don't have one and have never experienced it, so can't say). If you don't have blood on the toilet paper after wiping a bm, but then do have blood dripping in the toilet, I'd say it's a fissure.
If you have blood on the stool, I'd say firstly a flare, secondly an internal hemmie or internal fissure. I have an external fissure, so it's pretty obvious for me. You could take a look-see, if you're sure it's not a flare but not sure if it's a fissure, .meaning squatting over a mirror. Yeah, but better to know that leave it up to a doctor who sees nothing days after the "event".

-digestive enzymes- .... I haven't seen one you can sprinkle on except for Beano. It's not used for protein foods, only fibres such as grains, veggies and of course beans and lentils. I read it's for breaking down complex sugars in foods that cause gas/bloating/discomfort..etc.
It has to be used with the first mouthful.

Lactaid is a digestive enzyme used to break don the lactose in milk...if you have discomfort from that. Can be taken in tablet (chewed) form or I think there are drops you can put in milk, but it has to sit for a bit before using.
There is also Lactaid milk you can buy.

There are digestive enzymes used for protein...but I pretty much will use either Bromelain, a multi digestive enzyme, or I have used Zymactive. I've never used Beano.

When I do use digestive enzymes, I do end up having a concentration of gas about 6 hours afterward...so, maybe it's because I tend to take them after I eat rather than before. I do,however, have much less stomach discomfort and reflux when I use them...but that could be of my activity level after eating determining that fact.

-probiotics-....I really can't have yogurt...I get unbelievable discomfort, gas and cramping..more so than from any other milk products. I depend on capsule probiotics, I take them before bedtime, a few hours after my meds,and I take a variety. They're listed in my signature.

Good to hear the c.diff is negative..Woohoo!

The enemas are retention medication...not to be confused with the ones that make one have a bm. They can be your BEST FRIEND. They are used rectally and will treat up to and including the sigmoid. The oral 5ASA meds deal with the rest. That's why the treat both ends approach...and my persistence in suggesting them. coming on 20 years next month...I can't say enough about them...and I can use 5ASA without any problems.

-exercise/strenuous activity induced bleeding-....seems some have had that same question, and I would think that exertion could very well trigger bms, and if one is flaring and the inflammation is to the point of bleeding, it'll show in the bms.

Some exercise will rev up the immune system response for some...especially if flaring. Maybe too much activity for some can do the same thing. It could also be coincidence. I haven't had that problem and some people are avid exercisers...but it could very well be a subjective response if one is flaring, that incrased activity can exacerbate symptoms.
I wouldn't think, however, that exercise will trigger a flare unless one is ignoring the early symptoms of one and exercises to the point of triggering an autoimmune response quickening the process. Or it could be that while exercising, the adrenaline masks the symptoms until afterward when they're noticed. (I think I'm off point for what you asked, ..lol)

The other thing it could be is hemorrhoids....increased pressure in the rectum from any exertion can exacerbate them or cause them....so, you should be checked for them anyway.

Hope this helps...
q