when i go to the bathroom it hurts realy bad. there is blood it ranges from dark red to bright red.?

Question

I have Chrons and i have been going to my gastroentroligst and he doesn`t know whats going on and keeps trying me on diffrent meds. any ideas.

Its only when i go #2

Answer 1

Hi, I am a volunteer for the local CCFA chapter where I live. I've had Crohn's since the age of 12. Here is some information that may assist you in your quest for remission:

At the present time, there are five basic categories of medications used in the treatment of IBD. They are:

Aminosalicylates
Corticosteroids
Immunomodulators
Antibiotics
Biologic therapies

Medical treatment for Crohn's disease and ulcerative colitis has two main goals: achieving remission (the absence of symptoms) and, once that is accomplished, maintaining remission (prevention of flare-ups). To accomplish these goals, treatment is aimed at controlling the ongoing inflammation in the intestine—the cause of IBD symptoms.

There is no standard regimen for managing all people with IBD. The symptoms, course of disease, and prognosis vary considerably. Proper disease treatment depends upon an accurate diagnosis. This typically requires endoscopic (the use of lighted tubes to view the intestine), radiologic (X-rays), and pathologic (analysis of tissues) examinations. A successful treatment strategy employs not only medical therapy, but careful attention to detail and judicious use of common sense.

As active partners in the treatment of your illness, you and your doctor should discuss, in detail, all of the medical and surgical options available to you. Reading material such as this will help you stay informed about the latest therapies and surgical techniques, and give you tips about coping with your illness from day to day. Remember, hundreds of thousands of people with IBD are living productive, fulfilling lives.

For more information, check out the crohn's and colitis foundation of america's site and their 800 number run by healthcare professionals. (info provided below). The key is to work w/your GI and educate yourself in order to obtain remission.

I truly understand where you are coming from. I wish I could make the pain go away for you b/c you sound so young. I wish you the very best.

Answer 2

You sound like me, I have Chrons too. First get a different Gastroentroligist, I'd worry about a doctor that couldn't figure out where the blood was coming from. Also I just started a new med in September that actually works. Humira was just recently approved for use in the treatment of Chrons, and for me it has been a god send. My symptoms have decreased in severity quite a bit, and I'm much healthier.

Answer 3

Chron's disease or 'inflammatory bowel disease' may involve any portion of the alimentary canal from the mouth through the anus and may account for all of the symptomatology you relate.

The broad nature of this category of diseases is cause for the difficult evaluation and treatment you experience and you are not alone in this scourge of digestive abnormalities.

The etiology (cause) of Chron's remains unknown despite exhaustive reasearch into the processes which result in the disease and the treatment regimens are many and varied, ranging from 'bland diet' through radical surgical intervention.

Treatment focuses on relieving symptoms of the disease by inducing and then maintaining remission.

This happens by prescribing medicines that reduce the inflammation in the intestinal tract to the point that the Chron's goes away.

Some of the drugs used to treat Crohn’s disease include aminosalicylates, steroids, antibiotics, anti-TNF (Tumor necrosis factor) agents (like Infliximab), as well as immune system modulators.

The cornerstone for inducing remission in severe Crohn's disease continues to be oral or intravenous corticosteroids such as prednisone. Be aware of the 'double edge sword' that steriods are. For everything they do to help they also cause severe and protracted side effects which may be as bad as the disease process itself.

Answer 4

Since you have Crohn's disease, have you been evaluated for perianal abscesses or rectal involvement? Crohn's commonly does not affect the rectum, but it can. It is definately something you should discuss with a specialist, such as a proctologist or a gastroenterologist.

Answer 5

You really need to call your doctor as soon as you can if anything to let him know whats going on.I know a few people with it and they have had a hard way to go.So call Your Doctor ASAP

Answer 6

Umm, i think your constipated and your starting to crap your guts out. eat more vegtables and fruit. If its pee, You might have a bladder infection. Try drinking cranberry juice, 8 glasses of water a day.

Answer 7

Bright red bloody stools can indicate internal hemorrhoids or colon polyps.; or other conditions as mentioned below.

Bloody, tarry stools

Alternative names

Stools - bloody; Hematochezia; Melena; Stools - black or tarry

Definition

Bloody stools often indicate an injury or disorder in the digestive tract. Your doctor may use the term "melena" to describe black, tarry, and foul-smelling stools or "hematochezia" to describe red- or maroon-colored stools.

Considerations

Blood in the stool may come from anywhere along your digestive tract, from mouth to anus. It may be present in such small amounts that you cannot actually see it, but is only detectable by a fecal occult blood test. When there IS enough blood to change the appearance of your stools, the doctor will want to know the exact color to help find the site of bleeding. To make a diagnosis, your doctor may use endoscopy or special x-ray studies.


A black stool usually means that the blood is coming from the upper part of the gastrointestinal (GI) tract. This includes the esophagus, stomach, and the first part of the small intestine. Blood will typically look like tar after it has been exposed to the body's digestive juices. Stomach ulcers caused by ibuprofen, naproxen, or aspirin are common causes of upper GI bleeding.


Maroon-colored stools or bright red blood usually suggest that the blood is coming from the lower part of the GI tract (large bowel or rectum). Hemorrhoids and diverticulitis (inflammation of an abnormal pouch in the colon) are the most common causes of lower GI bleeding. However, sometimes massive or rapid bleeding in the stomach causes bright red stools.

Consuming black licorice, lead, iron pills, bismuth medicines like Pepto-Bismol, or blueberries can also cause black stools. Beets and tomatoes can sometimes make stools appear reddish. In these cases, your doctor can test the stool with a chemical to rule out the presence of blood.


Brisk bleeding in the esophagus or stomach (such as with peptic ulcer disease), can also cause you to vomit blood.

Common Causes

Upper GI tract (usually black stools):

Bleeding stomach or duodenal ulcer
Gastritis
Esophageal varices
Mallory-Weiss tear (a tear in the esophagus from violent vomiting)
Trauma or foreign body
Bowel ischemia (a lack of proper blood flow to the intestines)
Vascular malformation


Lower GI tract (usually maroon or bright red, bloody stools):

Hemorrhoids
Anal fissures
Diverticular bleeding
Intestinal infection (such as bacterial enterocolitis)
Vascular malformation
Inflammatory bowel disease
Tumor
Colon polyps or colon cancer
Trauma or foreign body
Bowel ischemia (a lack of proper blood flow to the intestines)


Call your doctor if you notice blood or changes in the color of your stool. Even if you think that hemorrhoids are causing blood in your stool, your doctor should examine you in order to make sure that there is no other, more serious cause present at the same time. That's why you need to see your gastroenterologist for another colonoscopy. so he can cauterize or laser if it's colon polyps.


The following questions may be included in the history to better understand the possible causes of your bloody or dark stools:

Is there blood on the toilet paper only?
What color is the stool?
When did it develop?
Have you had more than one episode of blood in your stool? Is every stool this way?
Are you taking blood thinners or NSAIDs (ibuprofen, naproxen, aspirin)?
Have you ingested black licorice, lead, Pepto-Bismol, or blueberries?
Have you had any abdominal trauma or swallowed a foreign object accidentally?
What other symptoms are also present -- abdominal pain, vomiting blood, bloating, excessive gas, diarrhea, or fever?
Have you lost any weight recently?


If indeed it's internal hemorrhoids, advise her not to strain. She should avoid constipation if it;s IBS. Drink a lot of fluids and eat a high fiber diet such as vegetables and fruits. Remember that colon polyps and hemorrhoids usually do not cause abdominal pains.

Acute pancreatitis presents with severe pains. radiating to the back. Ulcerative colitis is pains located on the left side. Crohn's disease is located on the right side. Both diseases may show rectal bleeding. Other causes for upper GI bleeding are diverticulosis, gastritis; or gastroenteritis; and gastric or peptic ulcer and esophageal varices. and diarrhea with bacterial infections.

Other causes of abdominal pains are; cholecystitis; pancreatitis( inflammation of the gallladder or the pancreas) peptic ulcer; intestinal blockage; MI ; peritonitis (inflammation and infection of the abdominal cavity) ; and PID ( pelvic inflammatory disease).



Abdominal pains located on RLQ with bloody bright stools indicate the inflammatory bowel syndrome (IBS) called Crohn's disease. Abdominal pains situated on LLQ accompanied wirh bloody; bright red stools would indicate ulcerative colitis.

The treatment of Crohn's disease is sequential: to treat acute disease, and then to maintain remission. Treatment initially involves the use of medications to treat any infection and to reduce inflammation. This usually involves the use of aminosalicylate anti-inflammatory drugs and corticosteroids, and may include antibiotics. Surgery may be required for complications such as obstructions or abscesses, or if the disease does not respond to drugs within a reasonable time.


People with lactose intolerance due to small bowel disease may benefit from avoiding lactose-containing foods. Many diets have been proposed for treatment of Crohn's disease, and many do improve symptoms, but none have been proven to actually cure Crohn's disease. A low residue diet may be used to reduce the volume of stools excreted daily. If sufferers observe that Stress exaerbae symptoms; then they should avoid Stress. Fish oil is beneficial.


Because the terminal ileum is the most common site of involvement and is the site for vitamin B12 absorption, people with Crohn's disease are at risk for B12 deficiency and may need supplementation. In cases with extensive small intestine involvement, the fat soluble vitamins A, D, E and K can be deficient. Folate deficiency is a risk when being treated with methotrexate.

Hope this helps and good luck to you!