Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » Rectal bleeding post bowel movement

04-13-2014, 02:49 PM   #1
Alexce93's Avatar
Join Date: Mar 2013
Location: London, United Kingdom

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Rectal bleeding post bowel movement

Hi all,

I am just starting to get worried... I haven't been ill in months but in the last 2 weeks I have started to bleed after having a bowel movement and it feels like it's tearing on the inside.. My stool consistency has been pretty much the same as always so I am unsure what could be causing it.

Any information or advice would be great!
Diagnosis: Unclassified October 2012 - Crohn's confirmed February 2013 - Returned to unclassified in May 2013
Surgery: None
Now: Stress related symptoms only since last flare-up in Feb. 2013
Current Meds: Multivitamin, Mercaptopurine (stopped temporarily), Ferrous fumerate, Lansoprazole and 8 weekly infliximab treatment (Remicade)
Previous Meds: Mezavant (Mesallazine) and azathioprine (stopped due to abnormal LFTs)
Number of flare-ups: Seven
No flare-ups since July 2013
04-13-2014, 05:18 PM   #2
valleysangel92's Avatar
Join Date: Dec 2012
Location: United Kingdom

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Blood can be really scary for anyone, especially if the cause isn't clear. It could be that you have small tears inside the rectum which are being irritated when you have a bowel movement, causing it to bleed.

It could also be that you have some information there.

I know it's easier said than done, but try not to worry too much, while blood is never 'normal ' it isn't always something serious either.

Get in touch with your GI or your IBD nurse and let them know what's happening, hopefully they can help you find a solution quickly

coeliac disease/Osteopenia /Crohns/Arthritis/
laperoscopic hemicolectomy 25/06/ 2013

Meds- Vedolizumab, pentasa, Lansoprazole, Vitamin D, prochlorperazine, Oramorph, MST, B12 shots My journey with crohns:

Allergic to - inflectra, aza

Non CD meds - Gabapentin, paracetamol, ventolin
04-13-2014, 07:56 PM   #3
theOcean's Avatar
Join Date: Jan 2014
Location: Toronto, ON, Canada

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If you say it feels like tearing, it might just be an anal fissure, which isn't necessarily related to Crohn's. So you can let your GI know, or ask your GP to take a look to confirm that, but it isn't anything too dangerous. Do you know if using vaseline or something before a BM might help? Or temporarily taking a stool softener, though it sounds like your consistency is still pretty normal.
Diagnosis: Fistulizing Crohn's, 2011 (originally Dx as Ulcerative Pancolitis)
Past Medication: Pentasa, Remicade, Prednisone, Imuran
Current Medication: Humira (biweekly), 100mg 6mp
Unrelated Medication: 36mg Concerta, 75mg Pregabalin
Currently: In remission!

Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » Rectal bleeding post bowel movement
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