Hey all-
Sorry this is going to be a fairly long post, and sorry if it is confusing, but bear with me! Looking for some advice/anecdotes/opinions as no one in my family or friends has this and I am just quite confused and frustrated.
So. I was diagnosed with Ulcerative Proctitis with a Cecal Patch back in Nov of 2025 after going into the doctor because of prolonged rectal bleeding. I had been bleeding since like June of 2025, but had really no pain at all, just blood and highly frequent bms. After my testings and diagnosis, I was put on 2 pills/day Mesalamine and off I went.
FF to now- since the end of April, I have been having symptoms such as squeezing cramps in all quadrants of my abdomen, and burning feeling. It started with a semi painful 4 day stretch at the end of April, but then came and went through May and was more annoying than painful. No weird bms or blood have occured. In June, I started to make sure I was tracking how I was feeling every single day, as I knew I had a doctor check in coming up, and I was starting to experience symptoms more consistently every day. I was having burning in multiple quadrants of my abdomen off and on throughout the day, and then I would have intermittent squeezing cramps. I have had very poor appetite, and have been consistently constipated pretty much the entire month of June, and up to now still.
When I went to my check up, I was trying to describe these symptoms to my GI doctor and I was having the hardest time trying to explain to her how I was feeling, because it isn't necessarily painful , and I don't want to overstate and have things I don't need done. It is more annoying feeling than anything and it is fairly constant, but it doesn't like hurt?? So IDK if I am just used to it and that is why I don't think it is painful, but to me pain feels like too strong of a word?
Since my appointment, I did a fecal and blood test and my inflammation numbers were all basically normal- that is a big reason why I am so confused. When I was first diagnosed, I do not remember feeling this type of burning or cramping at all and my markers were so much significantly higher and "abnormal". I only have just started feeling the cramping and burning at the end of April, and these recent test results don't seem to align with my symptoms I have been experiencing. Since my doctor visit, I have been put on 4 pills/daily of Mesalamine with follow up in approx a month (I am ~5 weeks post this appointment rn, next one coming up the second week of August). My symptoms are still the same, I don't really feel like I have gotten better on this new dosage yet, (frequent constipation, low appetite, burning, intermittent cramping - but mostly burning). It seems the most common area of burning is the lower right quadrant of my abdomen, with the occasional upper abdomen across my belly. I am so confused by these symptoms, and with all my researching I don't see constipation really being a UC thing at all, or burning come up in that area of the abdomen that much. It is my right side that is having the most discomfort, with the left basically having not much issue.
So, TLDR: my questions I guess are-
Do any of you experience burning concentrated to the lower right of the abdomen?
When your medication was changed, how long did you have to be taking to notice any symptom improvement?
How do you describe your symptoms to your GI doc and not get too bogged down with trying to be 100% accurate/exact on how you feel? I get anxious saying it "hurts" when it doesn't necessarily feel painful, just constant and dull ache most of the time, but not debilitating. I just don't feel I have the proper language to describe these feelings and it is making communication feel really difficult and it is making me really frustrated.
Have you ever been feeling like total buns but your tests have been not indicative to your symptoms at all?
Thank you for reading and advice!