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I had been having luck lately when these symptoms started to occur: blood in stool and abdominal cramping. Very reminiscent of UC, and highly concerning. Recently started regularly taking Metamucil (last couple months), the only negative has been a feeling of too much food I have that builds up in my stomach right before I'm about to evacuate. But within the last week the Metamucil has not been as effective. One particularly disturbing time that it was effective, however, it bulked up not only my stool but the blood in my stool, so there was a solid chunk of [what looked like] blood in there.
It hurts to evacuate with my anal fissure, could that be where the blood is coming from? Is this the dreaded cuffitis I've heard so much (yet so little) about or is this just a really bad fissure? Other than the blood I really thought the fissure was getting better so hopefully you can understand my confusion. If anyone has any experience with this or knows a good place to get information on cuffitis or other sites with information about j-pouch discomfort I'd appreciate your input.

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Cuffitis happens where they attach your j-pouch to your rectal cuff and is UC. They leave a small amount of your rectum, approx 2 cm, to attach the j-pouch to. Without it there is a higher probably of incontinence. That stinking 2cm can still get UC and when it does it causes bleeding, pain, increased bathroom trips, etc. It is right at the cuff and there are around a zillion nerves there, so that wee bit of tissue can cause a lot of grief. I've had stools filled with blood, drips of blood, blood around the stool etc. The blood usually goes away first after treatment is started. It is treated with Canasa or Anucort suppositories. You can google cuffitis and learn more. It could be a fissure too. In either case you need to see your doctor.
TE Marie

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