I get anal bleeding with constipation. Could this be due to hemorrhoids or remission of ulcerative colitis?

Hello,

Welcome to icliniq.com.

Well, I cannot be very sure about the diagnosis at the moment. Since given your history of ulcerative colitis (UC) and history of constipation, there is an equal possibility of a mild flare of UC or hemorrhoids. Having said that, whatever it is, it does not seem to be progressing, which is a good sign. Approximately one-third of ulcerative colitis patients remain in remission, one-third show progression, and another one-third present intermittently. So you may be having the first course of the disease, and it does not require intensive treatment. But surveillance of the colon is required after almost eight years of diagnosis of the disease.

You may have a limited UC disease that just involved the rectum (ulcerative proctitis) and cause you this persistent bleeding symptom. I would confirm which of the above is the cause of your bleeding and what you should do now to control it, only if you provide me your last colonoscopy report and any other stools tests done. Lastly, a photo of that blood you observed and anal area if you feel any bump while passing stools or otherwise.

Kindly note that small dose suppositories or enemas of Mesalamine help control bleeding in UC patients. On the other hand, hemorrhoids need that you should be constipation-free.

I hope this helps.