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PURPLISH BLOOD FROM BUTT

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Ulcerative Colitis
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Posted 3/12/2016 1:29 PM (GMT -5)
Guys lately I've been seeing a small amount of dark almost black dried purplish blood??? (Not even sure) on my underwear coming from my butt. I'm sure of the color because I wear panty liners. They're also the same ones I've always worn. I've been having weird symptoms lately that could be the start of a flare. Like thin poops, constipated, mild colon spasms and my butt burns after pooping. Lately it actually feels like there's something stuck in my colon by my belly button area. But *** is the purple stuff! I take canasa twice a week and I'm starting to do it everyday just in case it is a darn flare. Help!!!!!!!! My doctor doesn't respond on weekends. I'm terrified of going into another flare it's hell
Posted 3/12/2016 4:00 PM (GMT -5)
This is what Medicine.Net says...

Maroon or purple stool: This is caused by intestinal bleeding (usually in the small intestine or first part of the colon), ulcers, tumors, Crohn's disease, ulcerative colitis, or infections.
Posted 3/12/2016 4:02 PM (GMT -5)
What do I do?? Should I start adding the hydrocortisone suppository too??
Posted 3/12/2016 5:19 PM (GMT -5)
Purple is high up, a suppository won't touch that. I'd call your gastroenterologist on Monday, and ask for a medication that goes higher up, like asacol hd, lialda. Something's inflamed higher up. Might be more than just proctitis. When was your last scope?
Posted 3/12/2016 5:29 PM (GMT -5)
My last scope was in December and it was all clear but it was only a sigmoidoscopy
Posted 3/12/2016 5:48 PM (GMT -5)

Poophappens said...
My last scope was in December and it was all clear but it was only a sigmoidoscopy

If it's that high up a sigmoidoscopy wouldn't see it. I was the opposite, my rectum and left side of my colon was always the bad part, the rest higher up was always clear
Posted 3/12/2016 6:47 PM (GMT -5)
What should I do in the meantime? The doctor won't get back to me until Monday. And is it possible it's just a regular stomach ulcer?? I have been drinking a lot more alcohol lately and been really stressed out....
Posted 3/12/2016 6:49 PM (GMT -5)
and how high up do you think the inflammation would be until it become darker? I know that if it's low like in the recrum it would be bright red. Is there a certain point it needs to be at for the blood to the darker? People always say higher up but I always wondered where exaxtly
Posted 3/12/2016 7:08 PM (GMT -5)
I have always gotten that purplish stuff while using Canasa. I think it's some chemical reaction between the drug and any blood that it mixes with.
Posted 3/12/2016 9:05 PM (GMT -5)
Really??? Is it a lot or a little? And does it kind of resemble dried blood to you? It reminds me of dried discharge kind of. Did you ever bring it up with your GI? And I've noticed I'll get it even when I don't use canasa but like if I get a wedgie.... I mean I guess I'll get it around the days I do my canasa
Posted 3/13/2016 6:59 AM (GMT -5)

Poophappens said...
What should I do in the meantime? The doctor won't get back to me until Monday. And is it possible it's just a regular stomach ulcer?? I have been drinking a lot more alcohol lately and been really stressed out....

Alcohol and Stress are definitely two factors to set off a flare. The morning of my very first flare followed a night of heavy drinking which my first GI said was the trigger to set it off.
Posted 3/13/2016 8:35 AM (GMT -5)
Canasa makes it dark purple. You don't need to go to the ER over it.

You should be using Canasa daily if you're bleeding.
Posted 3/13/2016 10:03 AM (GMT -5)

Poophappens said...
Really??? Is it a lot or a little? And does it kind of resemble dried blood to you? It reminds me of dried discharge kind of. Did you ever bring it up with your GI? And I've noticed I'll get it even when I don't use canasa but like if I get a wedgie.... I mean I guess I'll get it around the days I do my canasa

I would say it's a medium amount...I am a terrible judge of quantity when it comes to these things though. Yes, it reminds me a bit of dried blood which I believe is just the effect of the blood mixing with the melted ingredients of the actual suppository. My doctors were never concerned about this, but you should still bring it up if it is concerning you. Peace of mind is priceless and a simple phone call could bring you that :-).
Posted 3/13/2016 12:19 PM (GMT -5)
It's mist likely a mixture of the canasa, mucus and the blood pooling and sitting there for a while since your last bm.

Just to clarify...how many times a day are you having bms?

You're still flaring, and you should increase the canasa to at least once daily, at most twice a day.

q
Posted 3/13/2016 2:07 PM (GMT -5)
I normally have a bm once a day. When I have those weird ish days it's 4. And yeah I know I shouldn't be drinking but I've been in such a celebration mode with graduation coming up! And I'm not on any antibiotics. I refuse to take any because I'm too scared of getting c diff. But wait why would there be blood with the canasa if I don't see any when I don't use the canasa?? My stool is also a normal brown color not tarry or dark. So I guess I'm not actively bleeding. But I guess there also could be some that I just don't see. Are there any other reasons canasa could turn purple?
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