Background: UC with ileal ulcers, PSC with stent, banded esophageal varices, portal hypertensive gastritis (mild?), iron deficiency anemia, MELD 9 (three weeks ago), slight fever, normal BP and pulse
Been having two weeks of bad cramping central/right abdominal pain. Food seems to make it worse. Had a urgently low hemoglobin (5.2) this week, got two units of blood Thursday. Not sure but maybe melana Friday night— definitely dark but not jet black, not tarry or particularly foul either. I’ve had similar before which self resolved, but mystery never solved.
If I had to guess (which I feel like I have to), hemobilia? Or slow stomach bleed? Some kind of small bowel bleed? Or no bleed at all? I’ve got numerous doctors visits coming up, but I think the ER is looking more likely tomorrow 
I hope you are closer to figuring out what’s going on, and that you’re feeling a bit better.
Sharon from modsupport
Sounds like the ulcers are causing you the most issues with your bloodwork. Doctor got me on Rinvoq for my UC about 2 years ago. Game changer. UC is in remission. The pain sounds like gall stone that’s stuck. MRI or ultrasound should be able to confirm. They also recommended I eat as much protein as possible. Are you on cevedilol 6.25MG? Doctor just started me on that to keep/reduce pressure in my liver.
Thank you, sounds like we’ve got some similar meds - carvedilol 3.125 bid and Rinvoq 45mg. Hemoglobin dropped again, 4.5, so the doc insisted I go to the ER today. Gonna get some scoping and imaging. Rectal exam showed blood - probably been the case for a while, but I guess my eyes aren’t sharp enough to see it after a BM. In any event I’ll post an update once I know more