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How do you distinguish inflammation blood?

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Ulcerative Colitis
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Posted 8/22/2008 1:41 PM (GMT -5)
Let's say intermittent bright red blood fresh on the tissue and some specs on the stool coupled with no Diarrhoea and no pain= Internal Hemmorrhoids.

How would one distinguish blood that is coming from a flair up/inflammation?

Posted 8/22/2008 2:58 PM (GMT -5)
I am depressed. Everytime I think I am in remission I get bright red blood in the tissue and a little on the stool and I freak out. I dont have diarrhoea but do have a lot of gas. I even go to the toilet and nothing comes out but gas! I have been eating a lot of fruit lately, could that cause it? I am having 2-4 BM's a day.
Posted 8/22/2008 3:09 PM (GMT -5)

I'm not sure it's great to eat a 'lot' of (raw) fruit with UC, especially acidy fruit like citrus. They even recommend you eat apple sauce rather than raw apples.   Some fruits are probably ok like peach/mango/apricot/pears but again stay away from the skins and be careful with berries with lots of tiny seeds like raspberries/brambles etc.

I hope this helps.    

Posted 8/22/2008 3:18 PM (GMT -5)

Sorry I never tried to answer your main question re the blood.  My guess would be that you're correct in stating that 'bright red' blood could come from a local area round the anal region, eg piles (internal or external) or a fissure at worst.

Darker 'mahogany coloured' blood would likely be from inflammation further up the colon.

I'm no doctor though.   I don't have the 'patients'.

I'll get me coat...

Posted 8/22/2008 4:18 PM (GMT -5)
Thanks Makster - it is very frustrating. I am an IBDer with IBS and Piles.. so you can imagine how hard it is for me to know what is causing what.
Posted 8/22/2008 4:55 PM (GMT -5)
I have been bleeding since May London. I was hospitalized with ulcerative proctitis from May 3rd thru 13th. I had the colonoscopy (I have to get one every year since being diagnosed in 1998) in the hospital. It just showed moderate ulcerative proctitis and diverticulosis. The bleeding concerns me too but since I was seen at least three times in the last three months by me GI and a colorectal surgeon (who gave me a rectal exam and said it didn't look that bad up there), my mind is at ease. Just make sure nothing is going on "up there" by having your GI perform a colonoscopy. Apparently, bleeding comes with this territory. Oh...my meds are prednisone 20 mgm (can't seem to get off this), 6MP, colazal and nightly cort enemas alternated with Canasa suppositories. You would think with all this medicine something would kick in.
Posted 8/23/2008 5:20 PM (GMT -5)

LondonRed said...
I am depressed. Everytime I think I am in remission I get bright red blood in the tissue and a little on the stool and I freak out. I dont have diarrhoea but do have a lot of gas. I even go to the toilet and nothing comes out but gas! I have been eating a lot of fruit lately, could that cause it? I am having 2-4 BM's a day.

LondonRed, I have been experiencing some of the symptoms you have. Some bright red blood on the tissue but I've not been able to tell for sure if there is any on the stool, haven't noticed any, I have no diarrhea but have multiple bm's a day. This past Sunday I had 5 bm's, 3 Monday, Tuesday, Wednesday and Thursday but only two yesterday and today. However, every time I have one I have rectal throbbing. I also at times a good deal of gas and nothing else.

I feel I am really raw and irritated down below and have either developed hemorrhoids or an anal fissure from going so much. Really bugs me.

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