Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

148 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Ulcerative colitis, regular bowel movement, blood on the paper, flaky stool, no pain. Is it a fissure and constipation?

My daughter has ulcerative colitis and has been off prednisone for 3 weeks. She has been having one regular bowel movement per day until a few days ago. She skipped a day, then had a bowel movement and had blood on the paper. This has remained for the past few days. She has now skipped 2 days of having a bowel movement and went today, having a little more blood and some flaky stool . Her GI doctor thinks she probably has a fissure and is constipated. Do you agree with this. She is having no pain at all.
Fri, 12 Apr 2019
Report Abuse
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Drug/Medication
Medical Topics ,  
General Surgeon 's  Response
Hello,

* As per my surgical experience, the issue of fissure usually present with moderate to severe pain in and around the anal opening.
* So, the possible cause of blood in stool is more likely related to internal bleeding from the colon, rather than surface bleed.

However, the condition must be evaluated with per rectal examination by a consultant for confirmation.

* Till that time, sitz bath and high fiber diet with bulk-forming laxative as Ispaghula husk will serve best relieving agents for her.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I have to use the restroom up to once every hour, including throughout the night (20 to 30 times a day regardless of having eaten or not and with a varying amount of stool). I m literally drained. My stool is extremely watery and because everything goes right through me I often have fully formed, non-digested food in it. Using the bathroom is constant and very painful. I had a total colectomy a few years ago to deal with ulcerative colitis, but the disease had already spread to my small intestine and esophagus before the operations- rendering them useless. I now have Crohn s disease and the pain is chronic. I ve tried several medications to treat the active disease as well as medications for the pain. I know I ll never again be constipated, but I m desperate to make my restroom use as infrequent as possible- anything under once an hour would be incredible and will help alleviate a significant amount of the pain. I took Dilauded for a long time, which was specifically effective in slowing my bowels (down to ~once every 3-4 hours). However it caused far too many other problems (chronic fatigue, extreme agitation, disoriented and foggy, extreme water retention/edema, muscle spasms, low to no functionality, etc.) to continue usage with any hope for a decent and increased quality of life. It was not worth it. I m currently taking morphine sulfate (ER and IR), but the effect is minimal for slowing my bowels (back up to ~once an hour) and my quality of life is still too poor to continue taking it. I have bloody stool, edema and I m always very drowsy. Before the morphine I was taking Nucynta (150mg ER up to 3x/day with 100mg IR 2x/day). It wasn t quite enough and although it did address the pain it took too long to metabolize. I think adding a faster acting narcotic will help to address the pain more effectively. I would like to switch back to Nucynta and add Percocet. My GI said he saw no contraindications in doing so, but I need more information before I discuss this with my pain management specialist. I m having a hard time finding the proper materials to educate myself on combining these medications and I don t want to sound like a fool when I discuss this with my doctors. I also don t want to die because of a bad drug interaction. I know that sounds like a given, but the fear of that specifically is a very real fear for me. I know my doctors won t prescribe a fatal combination of medications, but again, I want to be educated before I present my thoughts and preferences for addressing my pain. Please help.

doctor1 MD

.Age:20 Gender:Male Name:Naveed Case:Dear doctor I have recently had my sigmoidoscopy and the doctor have diagnosed Ulcerative Coalitis and prescribed me to have medicine Pentasa ,I also have difficulty in passing stools,cramping and pain in the lower abdomen with blood and mucus in stool,My life is getting worse day by day.Can you suggest me any cure for this disease...Thanks

doctor1 MD

hi i suffer from UC and recently i have been experiencing constipation for a day maybe two and then i have crampy pain and urgency on the third day which can last most of the day, how can i overcome this and get back to normal, i have a small amount of mucus on day i do not have a bowel movement. but none on day i have movements. i do hope you can help. siobhan

Recent questions on  Ulcerative colitis

doctor1 MD

Hi, I have ulcerative colitis and recently got arthirities in right wrist. I used mesacol for an year for UC and now doctor recommended to take Sazo and basics vitamins and reflax. Iam using them since a month. I got continuous cough and used ambrolite s syrup for cough along with other medicines. Can I use ambrolite s syrup? I have hand shivering since I started this syrup. Please suggest.

doctor1 MD

Hello Dr. Narasi, My 12 year old daughter suffers from Primary Sclerosing Cholangitis and Ulcerative Colitis . She was diagnosed when she was 3. She also developed Portal Hypertension in 2007 which resulted in a splenetic renal shunt forming in the fall of 2007. The portal hypertension decreased at that time. This fall the portal hypertension returned dramatically. She has just been listed for transplant 2 weeks ago. The portal hypertension is now causing portal hypertensive gastropathy. Last Wednesday at 4 in the morning she started throwing up blood. We took her to the er. Her GI did a ct scan , blood work, and scoped her. That is when we discovered the gastropathy. She is currently suffering horribly from the gastropathy. she is on numerous medications including: protonix , sucrafate, lialda, prednisone , poly-iron, mephyton, ursodiol, aquadeks, and refampin. Currently, we are trying to treat the gastropathy with and extra dose of protonix, an extra dose of the sucrafate, and hydrocodone. This is not working. She is currently doubled over in pain crying her eyes out. She is nearly hysterical. I ve called the transplant team and her GI, but they have not called back. I need help in knowing what else I can do to help her not hurt. Could increasing her prednisone help to decrease the pressure, inflammation, and pain she is experiencing? I ask this because in the past 5 years I believe that she has suffered from this gastropathy many times though undiagnosed. And during those times, we were required to increase her prednisone. Each time the gastropathy pain left her within hours of her increased dose. When we did not increase the prednisone the pain persisted until we did increase the prednisone although it did take longer for the prednisone to relieve the pain, usually 5 days. Have you ever heard of prednisone helping gastritis/gastropathy? Or do you have any suggestions? And at what point do I need to take her to the hospital. Just so you know. We ve been dealing with this for 10 years now. I am not an over reactive parent, and Bethany is a very tough girl. She doesn t make a fuss even if she feels awful. So, when I say that she is suffering, I truly mean it. She is in horrible pain. Thank you for your help! Taylor K.

doctor1 MD

Hi, I am 30 years old male and I live in XXXXX.It would be really kind if you could help me out. I have an ulcerative Colitis which is been diagnosed recently i.e on 21st June through a Colonoscopy Procedure as I had Diarrhea for the past 2 months prior to the procedure.It is a mild colitis as it is spread only over rectum and sigmoid.Now the problem is I have a low grade fever and a high Pulse rate right 10 to 12 hours after the colonoscopy procedure on 21st june.since then I have been facing both the problems. the fever generally come during the day and thouches 99.5 F maximum in the afternoon and generally vanishes away after 7 or 8 Pm. My pulse rate varies between 85-110 bpm during resting.Because of all this, I feel tired and malaise and unable to do any work. Moreover, All the tests(C T Scan, Chest and stomach x-Ray, thyroid, Blood Culture , Typhoid, C-RP,ESR, Electrolyte , ECG, ECHO, TMT etc) were normal. Also I sometimes have alot of Itching all over the body for the past 5-6 months and it comes for few days and goes.Please help me out as my weight is also getting reduced since then and I feel very week.

doctor1 MD

My daughter has ulcerative colitis and has been off prednisone for 3 weeks. She has been having one regular bowel movement per day until a few days ago. She skipped a day, then had a bowel movement and had blood on the paper. This has remained for the past few days. She has now skipped 2 days of having a bowel movement and went today, having a little more blood and some flaky stool . Her GI doctor thinks she probably has a fissure and is constipated. Do you agree with this. She is having no pain at all.

doctor1 MD

blood from rectum when I have bowel movement (frequent) bright red probably not over 3 tbsp. but quite a lot more than I've ever seen from hemorrhoids in the past

doctor1 MD

Seeing Bright red blood in toilet after bowel movement, also passing gas during the day.

doctor1 MD

When I poop lately I have cramping and have even thrown up leaving me exhausted