Many patients feel that their ulcerative colitis is worse in the early morning hours compared to other times of the day. This is totally normal for some people(but not for everyone).
There are many conflicting ideas as to why this is taking place. Some ideas have to do with sleep, and the idea that when people are sleeping, their bowels are working usually less, and that can lead people to have a buildup of needed work once they wake up in the morning. There are many stories of UC patients who need to run to the bathroom first thing in the morning to take a large and lengthy in terms of time crap EVERYDAY. Sometimes this bowel movement can last over an hour if you can believe that. And often, the quantity of poop that comes out at this first thing in the morning bowel movement is the largest amount for the whole day. Don’t be alarmed if this is you, this is totally normal.
But, lets think also for people who have the worst pains in the morning. This is also very common. There are also too many conflicting views in the medical world to make a 100% for sure theory or reason for this. It is simply a fact of life for many IBD patients, not just UC patients that the morning hours can be the hardest times to cope with the disease. The good news is that for this group of the UC population, most of them say that the pains get better as the days move on compared to the mornings. So in some sense, the symptoms are always getting better each day compared to when these patients wake up.
MOST IMPORTANTLY, don’t freak out if this is you, having the worst pains in the morning. Tell your doctor, and realize that you are not alone.