Pouchitis with blood?

LesandiegoMember

I have had nocturnal leakage for about 1-1/2 months. I have also had success in stopping the leakage by taking Advil.

Now, I have a problem..... Yesterday, I had severe diarrhea and dehydration, my BM's were very dark in color and I had a significant amount of night time leakage.

Today, I ate lunch had a BM and I had a significant amount (not just a small dab) of blood (bright red in color). Reminded me of my Chronic Proctitis symptoms.

Called my doctor, explained my symptoms for the past 2 months, also explained that I have periodically taken my temperature when I have increased frequency and it is always 99.5. I also explained that I have NO PAIN (none at all).

Doctor immediately prescribed Flagyl and I have an appointment to see him tomorrow afternoon.

Is blood dripping (not just spotting) during a BM a symptom of pouchitis?

As I said, I do not have pain and it most definitely is not a hemmorrhoid.

9/9/138:27 PM

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PluotMember

Regular use of NSAIDs, particularly by people with IBD, can lead to GI bleeds. Did you mention the Advil to your doctor?

9/9/138:53 PM

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LesandiegoMember

Yes, I told him everything. I have used Advil for less than 10 days and only at night (only 400 mg total)

9/9/139:20 PM

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Scott FMember

Don't forget that hemorrhoids can also bleed a fair amount. It doesn't sound like classic pouchitis to me.

9/9/1310:39 PM

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LesandiegoMember

I have no spotting on my underwear and no pain when I wipe.

Hemorrhoids are painful (like a laceration) right?

9/9/1310:49 PM

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PluotMember

Not always. Internal hemorrhoids can be painless.

If it was a lot of bright red blood all at once I'm voting for a burst hemorrhoid. The same thing happened to me during a UC flare and I rushed to my GI for an emergency scope... it was a hemorrhoid. Embarrassing but it happens!

9/9/1311:13 PM

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LesandiegoMember

I do not pass blood after each BM today. Seems to be every other time.

My temp was 99.8 most of the afternoon. I took my first dosage of Flagyl at dinner and I now feel better and my temp is normal.

9/10/1312:15 AM

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Scott FMember

Well, Flagyl isnn't the usual way of evaluating possible hemorrhoids, but if the bleeding stops promptly after starting Flagyl the hemorrhoids are a much less likely explanation.

Hemorrhoids don't have to bleed every time. They're just basically swollen, exposed, fragile veins. When we bear down to poop (which varies by person and by consistency), we increase the swelling a bit, and sometimes they bleed - the amount can vary a lot.

9/10/138:44 AM

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LesandiegoMember

Doctor said I have pouchitis. He said advil will cause bleeding, but he did not seem too concerned about it, or admonish me or anything like that.

9/10/139:51 PM

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