Skip to main content

Dear all, I searched for topics about bleeding and read a few cases where you write that you get medicine when bleeding. I bleed once in a while, but have never gotten medicated, so I got a bit worried and wrote my doctor. He had an interesting point of view that I want to share with you. Basically he says that as long as its only occasional bleeding there are no reason to do anything. He also writes that pouch problems 'has many faces but few solutions'. He goes on to write that first option would be antibiotics and if that does not help then something like prednisolon, but there are no big casestudies that proves the affect. I have decided to continue to not treat it because it rarelt affects me. What do you do, and what does your doctor recommend?

Last edited by LoveLife
Original Post

Bleeding can have several causes and that is why it is not easy to say whether to treat it or not. The fact that it is infrequent and resolves spontaneously means that it is likely very benign in nature (like bleeding from irritation or hemorrhoids). If it was more persistent or associated with other pouchitis symptoms, then treatment would be more necessary.

Bottom line, I agree with your doctor’s assessment. I do disagree that antibiotics are the only treatment. If bleeding is from the rectal cuff, mesalamine or hydrocortisone suppositories are usually prescribed, not antibiotics. But, you now have piece of mind and it is documented, in case things change in regard to frequency or additional symptoms. The only other thing I might add is that you should have periodic screening tests to rule out anemia, just in case there is some chronic loss that is not compensated.

Jan

Last edited by Jan Dollar

Add Reply

Post
Copyright © 2019 The J-Pouch Group. All rights reserved.
×
×
×
×
Link copied to your clipboard.
×