Rectal Pain with improving UC?

Hi all,

So diagnosed with UC a few months ago. Pretty chronic with the usual fun symptoms. Only on Mesalamine so far, doubled the dosage the last month or so. Combined with eating mostly paleo, taking a probiotic, extra glutamine, and generally eating more easily digestible foods I've started to feel better thankfully. Going less, less intense bloating and pain, more firm stools, less blood. Have had some really good days thankfully minus a stomach bug that was going around.

But the last couple days have been painful. Stools have been firm which is good but am getting tremendous rectal pain, that sharp pain that feels like it erupts through the body. Does anyone else get this and specifically has anyone got this after passing larger more firm stools or is there a different cause? I've had pain like this before but not like this. Very, very painful and hasn't gone away in a few days. Any ways to help deal with the pain? Heading to my GI Doc at the VA on Tuesday and hoping to avoid prednisone since overall I have been improving.

Thanks for any help guys.

Your gastroenterologist might have to examine you to see exactly what it is. Sounds like rectal inflammation, from uc, ask for a meslamine-based enema (canasa) or enema (rowasa). Could be a fissure/fistula?

I have experienced it when I had rectal inflammation. It's horrible and I thought my rectum was going to fall out. It was associated with firmer stools and felt like fire from my esophagus to my rectum. If your pain is similar to mine, it's rectal spasms. Ask for an anti-spasmodic and use rectal meds. I was dx in 2001 and never experienced this pain until about 18 months ago. I'd rather have D than the combo of formed poo and an angry rectum.

I can really tell the difference if I forget my enemas. I'm not flaring also and it's the only thing that really bothers me now.

Try the normal things to ease your BM's, like water and oils and fiber.

And normal things to protect your butt, like not sitting on hard surfaces.

I can't even look at a bicycle seat anymore, lol.

I call them the dreaded white-knucklers. Yes...it's typical with forming stools and continued rectal inflammation.

You should see the doc, have him take a look-see. It could be a fissure, but the pain would continue after a bm rather than rev up to evacuate bms. It's like butt-puking...a relief when it's over, only to happen again on the next download.

Rectal meds....doesn't seem you're even in the ball-park for steroids, unless they're rectal.

keep us posted,
q