The plan was to bulk slowly up to 175-180 with a hypertrophy routine. It's been going pretty well, but I'm back to shitting blood and losing weight. I was 163 and in the past week I have dropped to 156.

Should I just switch to cutting and a strength routine? I imagine I'm going to lose another 5-10 pounds before I can get it back under control.

Why are you shitting blood?
What supplements do you take and how does your daily food intake differ as to when you're not bulking?

LOL

Here's an idea - go to a doctor and get that whole shitting blood thing looked at.

To all you bros, I have crohns/ulcerative colitis. I'm not looking for diet help or anything of the sort. I know exactly what is going on. I'm just asking what is the best thing to do with my situation.

So are you not eating enough putting you in a deficit? Sorry I am ignorant on crohns.

As far as switching to a strength routine for cutting Lightman, Balla or Dyer wrote this a while ago: https://www.facebook.com/permalink.php?story_fbid=187877771418711&id=175556779317477

If you are in a deficit, I would adjust accordingly to the post, if you are still in a surplus but losing weight due to shitting your insides out stick to what you've been doing.

Of course take my opinion with a grain of salt as I don't fully understand your situation.

The more I eat the more I shit. It's inflammation I'm the intestines homie

Does drinking protein shakes etc make you shit blood? Maybe add more calories via drinks?

I haven't touched whey protein in about two years. I used to drink them and they would destroy me. I actually have about 9 pounds of ON whey just sitting in my room haha.

Just quit lifting and die