Hemmies and bleeding

Okie dokie, I have been in a flare since September, finally broke down and started Pred 15mg one month ago, I do think things have gotten some better.  I know that I have had some internal hemmies, but now I have a bulging one when going to the bathroom and then of course disappears after!!!  Question is with the blood.  How do you really know the difference of the blood from hemmies or your colon bleeding???  I have never been in just constant absolutely couldn't handle it pain.  After colonoscopy my GI said it was only the first 3 inches of my rectum this last time rather than my entire colon although I do suspect it ended up effecting more after the colonoscopy.

My diagnosis and first flare was June-Nov. 2007.  I was on a higher dosage of pred and a lot sicker than I am now.  I ended up getting c-diff and I think that is why I was sooo sick last time. 

So this is only my second flare...Just really confused about things.  I have some urgency at times...not going to the bathroom near as much as I was in the beginning of this flare, and it is not always straight up diarrhea, so I do know the pred is working. 

Any comments/suggestions would be appreciated???

 

Are you still taking Canasa? If so, you may want to ask the doc for a hydrocortisone suppository or enema instead. These steroids can help both with the rectal healing and the hemmies. The way I can tell the difference between a Uc flare and my hemmie are the symptoms. With a Uc flare, I have the urgency and left sided pain with darker red blood and mucous that drips in the toilet or is on the tp. With a hemmie I have no Uc symptoms and bright red blood on the tp only. To me it sounds like you are having both. The urgency you have may indicate that you are still rather fragile in there.