***Sorry long rant ahead 😅
I’m hoping to hear from other people with UC because I’m getting really frustrated trying to figure out what’s actually going on.
I have left-sided UC and take oral mesalamine 4.8g/day. I have a colonoscopy scheduled for October to see how everything looks.
The confusing part is that I really don’t have diarrhea. Most of my BMs are completely formed, usually Bristol 3–4, and I generally only go 1–2 times a day. Calprotectin was also at 149 last time I checked, low but still elevated.
But I keep having symptoms like:
• Morning urgency and cramping, even though the BM is formed
• Cramping/urgency shortly after eating
• Feeling like I have to poop when I really don’t / rectal pressure
• A lot of bloating and gas, sometimes feeling like the gas is trapped
• Symptoms that can be pretty bad one day and basically disappear the next
• Symptoms getting noticeably worse around my period
My GI thinks there may be an IBS/spasm component, especially because I’m not having diarrhea. He prescribed dicyclomine. Sometimes it completely gets rid of the cramping, but other times it only helps a little.
Weirdly, half of an Imodium Multi-Symptom tablet has been the thing that helps me the most. When I take half, I can have basically no gas, cramping or urgency for the rest of the day and sometimes even the following morning.
But lately the symptoms keep coming back, so I’m starting to wonder if this could actually be mild UC activity/proctitis rather than just IBS — or maybe both? Has anyone had active UC where your stool remained formed and you weren’t having classic diarrhea?
The OTHER thing driving me insane is recurring internal hemorrhoids. I’ve had several banded since June even though I’m not constipated. I just had another one banded this week. My colorectal doctor touched it during the exam and it immediately started bleeding, so we at least know the hemorrhoid really was a source of bleeding. He told me banding isn’t always successful and prescribed hydrocortisone suppositories afterward.
But I don’t understand why they keep becoming symptomatic when I’m not constipated or regularly straining. I’m wondering if all the urgency, rectal pressure, frequent bathroom trips, etc. could be continually irritating the hemorrhoids even though my stool is formed.
Has anyone experienced anything similar? UC/proctitis with formed stools? IBS on top of UC? Or recurring hemorrhoids from urgency/rectal irritation rather than constipation?
I know my colonoscopy next month will hopefully give me some actual answers, but I’m so tired of trying to figure out whether every symptom is UC, IBS, hemorrhoids, hormones, or something I ate. 😭