Flare up & Need Urgent Help

I have UC since 2006 and all these years I’m on colozal 3/3 times a day and slowly tapered to 8/7/6 and stayed at 6 for almost a year. 4 weeks back noticed a small trace of blood and immediately bumped back to 3/3 times a day. I started seeing more blood and asked for Canasa suppository and started on it. Then I had a feeling of something blocking while inserting suppository and pain after inserting. But bowel movements are solid most of the times and no major urgency. So I went to GP yesterday and he asked if I bowels are liquid and seeing blood on the tissue or both tissue and mixed with stool. I said it’s both. Because I see red color blood on the tissue and also some mixed in the stool. He suspected Anal fissure and gave a cream to do two times a day. Started last night and this morning. Yesterday evening had a bowel movement kind of loose/solid but no visible blood anywhere. This morning I did three bowel times and saw small blood mixed with stool and the tissue, but it is not very red. So I’m totally confused if I’m experiencing a flare up or this is all due to Anal fissure. I did have symptoms of pain while poopo and after doing it. So I’m bit convinced with GP when he said there might be an Anal fissure. But with the possibility of blood in both the cases of flare up and Anal fissure, I’m totally lost and not sure how to take next steps. Appreciate if anyone have any ideas of what’s going on and any suggestions will be very helpful . Thanks in advance 🙏🙏

Thank you for your reply. Yeah I went to Gastro and he suspected it is Anal fissure which is something like a tear of skin in the anal area inside. But my symptoms are not consistent and it is confusing me on what’s going on. He asked me to use this HC Pramoxine 2.5-1% Cream 30gm two time a days. Still trying to figure out if I have to pause doing the suppository nightly.

HL...did your doc take a look to make sure it is a fissure? Thinking and diagnosing are two different things.
I use Proctocedyl (generic called Proctol). When wiping, you can try dampened toilet paper with Cetaphil Gentle cleanser then a dry one...helps me after bms.

Re the bumping...could be the sphincter, or a hemorrhoid. When was your last colonoscopy?

Adding a fibre supplement can help soften and fluff up stool...i eat fruits, veggies to soften stool for easier passage.

Re suppositories, i just moisten the tip with water, but lubrication will help as well.
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