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Blood After Spicy Food/Ice Cream

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Ulcerative Colitis
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Posted 8/1/2017 10:32 AM (GMT -5)
Last 6-8 months i have been feeling good from Entivyo and Lialda but the past few weeks i have been have blood but not terrible urgency. Only connection i can make is when I eat slightly spicy food or Ice Cream. Should this be happening with Entivyo because before it didn;t make what I ate. Is the Entivyo not working anymore or is it strictly the food?
Posted 8/1/2017 10:46 AM (GMT -5)
Pepper oil is indigestible and can burn from lips to anus and is a kmown gut irritant. I'll take occassional mild spice but my days of eating fire-breathing chili is over.
Posted 8/1/2017 10:46 AM (GMT -5)
....you mention past few weeks, and you're obviously flaring. Ask the doc for recctal meds to help heal it now.

q
Posted 8/1/2017 11:10 AM (GMT -5)
the blood does generally come from inflammation (except hemorrhoids) it is possible that you are simmering with symptomatic control on Entyevo, but not histological control. Some foods, could produce gas or motility issues that cause inflamed tissue to bleed.

but it is not food causing a flare - but the flare at a low level, and food causing symptoms to show.

since you do not mention urgency, I am less sure if an enema is needed. IF the blood is bright red, an enema is worth a shot.

for me, I gave up ice cream because the combination of the sugar and dairy would give me gas and rumblings. if I take probiotics with ice cream it is OK occasionally.

do you use probiotics?
Posted 8/1/2017 11:35 AM (GMT -5)
I read "not terrible urgency" ..... so always worth rectal meds in any case. Enema of 4g is best, especially considering you are already on biologic med. But mesalamine and steroid suppositories alternated day and night would be a good start.

Spicy foods and ice cream are usually in the higher fat variety...that could account for some of the frequency and looser stool if you are having them.

q
Posted 8/1/2017 12:08 PM (GMT -5)
Dairy can cause excessive gas in a lot of people. It is possible the gas is stretching your intestinal tract and irritating some existing ulcerations. Ice cream also can contain polysorbate 80, an emulsifier, which has been shown to cause UC-like symptoms in some small animal studies.

Ice cream is one of the few foods on my "under no circumstance" will I eat list. It kills me.
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