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Interstitial Cystitis (Expert Forum)
Clear stool and blood
Answered by
David A Burks, MD - Interstitial Cystitis, Urology
Henry Ford Health Systems
Detroit - MI
Questions in the Interstitial Cystitis forum are answered by Dr. David A. Burks, MD from Henry Ford Health Systems.
Clear stool and blood
by Anotherimpatient, Jun 17, 2008 01:40AM
Hi well im an 18 year old dude And i Do have Interstitial Cystitis which i can normally keep in check with my medication and a good diet. Ive also been told i have IBS tho another doctor told me it could just be my bladder becoming inflamed and pushing on my colon. Well.. I went to take me SAT test and during it my bladder stated acting up and so did.. my colon i had to use the restroom.. in both way.. but could not leave the room or i would get an automatic fail on the test. Well i havent been able to poop for the last few days.. and ive having clear goo? or discharge every time i try ive also noticed some blood which was bright red.. is this common with IBS or did i mess something up when not going to the restroom?
Doctor's Answer
by David A Burks, MD, Jun 18, 2008 10:41PM
, Jun 18, 2008 10:41PM
Hi,
I assume you have been diagnosed corectly with IC and IBS. There is a link between the two disorders. The link is in how the nerves to the bladder and colon share a common endpoint, not one pushing on the other. This is an area of intense study and research is going on across the country. There is a concept called "cross sensitization". What it means is that inflammation in the colon causes pain signals to travel to the spinal cord. These "sensitized" nerves from the colon connect to secondary nerves in the spinal cord which also become sensitized by the pain signals. Nerves from the bladder also connect to these secondary nerves. The bladder nerves then become sensitized, causing all the symptoms of IC when the inflammation problem is actually in the colon. This cross sensitization explains why there is a high prevalence of IBS, vulvadynia, fibromyalgia, food and drug allergies and other pain "hypersensitivity disorders" in patients with IC.
Another issue may be related to stress. Your bladder control centers of your brain are connected to your brain's emotional center. High emotional situations like during an SAT test can cause bladder (and probably rectal) urgency. With the diagnosis of IC and IBS plus the stress situation you're having big problems. You need to see a gastroenterologist who can help you regulate your bowel function and evaluate the bleeding. It may just be the IBS but you need to be checked out.
Good Luck
I assume you have been diagnosed corectly with IC and IBS. There is a link between the two disorders. The link is in how the nerves to the bladder and colon share a common endpoint, not one pushing on the other. This is an area of intense study and research is going on across the country. There is a concept called "cross sensitization". What it means is that inflammation in the colon causes pain signals to travel to the spinal cord. These "sensitized" nerves from the colon connect to secondary nerves in the spinal cord which also become sensitized by the pain signals. Nerves from the bladder also connect to these secondary nerves. The bladder nerves then become sensitized, causing all the symptoms of IC when the inflammation problem is actually in the colon. This cross sensitization explains why there is a high prevalence of IBS, vulvadynia, fibromyalgia, food and drug allergies and other pain "hypersensitivity disorders" in patients with IC.
Another issue may be related to stress. Your bladder control centers of your brain are connected to your brain's emotional center. High emotional situations like during an SAT test can cause bladder (and probably rectal) urgency. With the diagnosis of IC and IBS plus the stress situation you're having big problems. You need to see a gastroenterologist who can help you regulate your bowel function and evaluate the bleeding. It may just be the IBS but you need to be checked out.
Good Luck
