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I went to the hospital the other day because of some bleeding and pain that felt similar to a UC flare. Painfully similar. They did a sigmoidoscopy and found on ulcer on my rectum. Does this mean I have cuffitis?
I know it's a silly question, but reviewing my hospital papers I see I don't have an official diagnosis. It says "The reason you were in the hospital: GI Bleeding." It doesn't really specify. The medication I'm taking is a suppository called Canasa. I remember I had bad stomach cramping when I had a bad flare, but wasn't that in my colon? I'm having dull pains above my belly button and sharp pains around my the left side of my stomach's scars. I think that may be scar tissue because there is no more bleeding after two nights on Canasa.
I take high doses of medications because I developed a tolerance for almost all meds (or maybe I just don't absorb them as well, I don't know) after my surgeries. This helps to stop diarrhea but as I recall during a UC flare you're not supposed to take anything to slow it down. Also I do have a fissure and it hurts to push too hard, is there any effective pain relief that doesn't plug you up so much? I've recently heard of Lortab and was wondering if it's any more effective than Vicodin since it is available in syrup form.
It feels good to have an answer to the big question--why am I bleeding after three years without a colon--but of course it also gives me more questions. I see my primary tomorrow, she's wonderful but doesn't know as much about J-pouchers. The soonest I can get into my gastro, however, is later next week. So anything I can find out until then will be helpful! Thanks for reading!

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An anal ulcer usually is indicative of cuffitis. Unfortunately I have been dealing with this for well over a year since my takedown. Even with regular Canasa use and intermittent and hydrocortisone suppositories I still bleed more often than I would prefer and often have anal discomfort. I also have a fissure and hot baths can help this as well as nifedipine, which is a compounded prescription cream.

Your GI may suggest antibiotics but I don't feel they do much to help cuffitis at least in my case. My GI indicated it is all very localized so the rectal meds may help you. In my case, since mine is very chronic I am considering pouch advancement surgery based upon my surgeon's recommendation two months ago. You should know that you can still have cuffitis even if not bleeding and asymptomatic so it is a good idea to keep an eye on it. Good luck. Hope you get some relief soon.
J
Sounds like cuffitis to me. Plus, you were prescribed the main treatment for cuffitis, Canasa. Not an emergency, so it can wait until you can see your GI.

Lortab is the same thing as Vicodin. Youshould absorb it the same in tablet r liquid form, as neither are enteric cated and dissolve quickly. The point of the liquid is more for pediatric use, so you can give smaller dses more easily.

Jan Smiler
Jan Dollar
Canasa is made with the same medication most of us were on at some time with our UC. Cuffitis is UC in the rectal cuff where they attached your j-pouch to your cuff. I hope they took some biopsies during your scope. After the pathology report comes back you should get a diagnosis. Mine actually ulcerative colitis. They lied when they said the operations cured us. They leave a small amount of rectum to sew the j-pouch to at the rectal stump. I wouldn't stop taking the Canasa. Just because it stopped bleeding it appears as you still have other symptoms.

I hope you are feeling better soon!
TE Marie

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