Blood in stool 1x every 2-3 days. Anyone else? Why is this happening?

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A post in the kids section made me think what my kid is experiencing might be abnormal. It certainly isn't normal for her. She no longer has blood in her stool at every bowel movement. Every 2-3 days she has a bowel movement that (solid, soft & formed) and has a lot of blood in it. Bright red in color. All other bowel movements (6 a day) now have no blood in them that we can see. She doesn't have c diff (already tested 2x in last 6 weeks).

Since it is red (and not dark) I am thinking it might be an like a scab in her colon that keeps trying to heal & scab over, but every few days a bowel movement rips off the scab & causes her to bleed. Any other explanation? Has this happened to anyone else?

Back story: In October my kid had her 1st remission after 2.5 years. For the 1st time since diagnoses she successfully tapered off prednisone COMPLETELY in December. Mid February blood came back, stools went to 14x a day & blood in many of the stool trips. March she started back on prednisone 40 mg. About 2 weeks ago (when she started to taper down off prednisone) she finally got to 6x a day bowel movement trips and the blood was very sparse. She is now tapered to 25 mg.
 
that was what my daughter was going through when she was also in a continued flare for almost 3 years. She had 2 units of blood in December and started on the 40 mg prednisone. She had to go back up to 30 mgs at one point and she also started back on Pentesa and also started the mesalamine enemas.

We changed GI;s because this
knew pediatric GI knew right away to keep her on Prednisone (high enough dose) until there was no bleeding.

My daughter has continued issues with pain during BM's but the GI explained that UC starts in the rectum and works it way up so the rectal area is the last to heal.

best to your daughter. please let me know if I can help.
 
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Did the enemas help? They aren't doing anything for her. Normally the cortifoam or Saloflac would cause burning but it doesn't seem to do anything.

A friend mentioned it could be a fissure. Is this possible, or I should just think it is the end of her flare?
 
Hmm I have had this. About every 4-5 days I would have bleeding. I told my GI he said it could be a fissure but he wanted to scope to check for flare as it is so hard to tell. Good luck!
 
Everyone is different how they respond to meds that is for sure. Yes, we do believe the enemas are helping her. But it took a long time for her to be able to use it. Her inflammation was too much to even try it.

Not sure about the fissure, but if you think it might be, that is worth finding out. I think some people are more susceptible to fissures.
 

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