Asacol absorption - is this normal?

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BensMom
Regular Member


Date Joined Mar 2006
Total Posts : 57
   Posted 4/1/2008 4:48 AM (GMT -7)   
Hi,
 
My son had a colonoscopy yesterday afternoon around 1:30.  His GI told me that during the scope she had to remove 3 Asacol pills that were in her way.  I'm assuming that those were the 3 pills that he had taken the night before (around 11:00 p.m.)  Shouldn't those have dissolved in all of that time between when he took them and the scope?  The GI didn't seem too concerned about it, but it seemed weird to me.  Has this happened to anyone else?
 
Thanks!
Nancy
 
Son Ben, 13, diagnosed 3/06
Asacol, 6-MP, Culturelle, Fisol, Seacure, Multi


patientspiders
Veteran Member


Date Joined Jul 2005
Total Posts : 733
   Posted 4/1/2008 9:14 AM (GMT -7)   
I remember hearing the pills plunk down into the toilet water when I went to have a bm. I seem to remember something about Asacol being specifically designed to not dissolve until it got to a certain section of your intestines? Maybe someone currently on the med can chime in... but to give you an immediate answer... I remember not digesting those very well myself.
26f, dx'd CD July '05 after 6 fistula/abscess surgeries
Remicade only, every 16 weeks.
Digestive enzymes, and probiotics.
Doing pretty darn good, all things considered. :-)

"Our greatest fear is not that we are inadequate, but that we are powerful beyond measure."

~Marianne Williamson


Pooie1981
Regular Member


Date Joined Mar 2008
Total Posts : 274
   Posted 4/1/2008 9:20 AM (GMT -7)   
That does sound strange BUT I am on Asacol myself and have seen the capsules in my bms in the toilet sometimes. I brought this up to my Doctor and he did not seem concerned. I read up on it myself on the Net and came to this conclusion. The pills are meant to only dissolve in certain parts of your intestine. From what I gathered.. from day to day the ph balance in your intestines change. The pills can only dissolve when a particular ph level is present. If not present, they do not dissolve and come out the other end in pill form. This, I think, is why it is important to take your pills every day as prescribed because some days they will and some days they will not dissolve depending on your body. :O)
Ulcerative Colitis Diagnosed May 2004
400mg Asacol 3 times per day.... increased to 6 400mg per day Mar.11
Entocort 3 pills once a day
Daily Vitamin for Women


Melissa H
Regular Member


Date Joined Mar 2008
Total Posts : 85
   Posted 4/1/2008 10:07 AM (GMT -7)   
Thanks for the info Pooie, that makes a lot of sense. I've often wondered that myself when I've noticed the capsules in the toilet (it always shocks me at first because I think it's blood, they couldn't have come up with a better color for them?!) My doctor too, didn't seem concerned and didn't offer an explanation on it...so I haven't really worried about it too much.

Blessings!
30 year old wifey and mom to 3 little girls, 2 dogs, and 2 ratties and working full-time outside of the home...nap anyone?
 
Suffered with symptoms for 12 years, dx Crohn's-Colitis 11/2007.  Taking Asacol, Omeprazol, Rowasa, Bentyl. Flaring non-stop, but trying to avoid steriods, argh. 
 
 
 
 
 
 
 


It's in the bag
Regular Member


Date Joined Aug 2007
Total Posts : 122
   Posted 4/1/2008 11:59 AM (GMT -7)   
Yeah I had that same question for my Dr. several months ago , about the Asacol. I noticed that after bm's I could usually see the pills in the toilet and he said it was normal , if you look closer(or want to lol) you can normally see that they've kind of opened up but the outside is mostly intact. It's something about they're supposed to not break down until they get into the colon so the stomach doesn't destroy them like it does most food and other pills like Pooie said
Asacol 400mg x 8 dly , 50 mg Mercaptapurine x 1 dly , 40 mg Omeprazole x1 dly , Remicade every 2 months , Multivitamin , Fish Oil ,


staci100
Regular Member


Date Joined Mar 2006
Total Posts : 111
   Posted 4/1/2008 12:29 PM (GMT -7)   
I have seen Asacol in toilet too many times to count.  I also saw pictures of them when they did my colonoscopy.  No one ever seemed like it was a big deal.  I even asked the pharmacist. 

not creative
Regular Member


Date Joined Mar 2007
Total Posts : 466
   Posted 4/1/2008 4:36 PM (GMT -7)   
I remember taking the Asacol in the morning once and a few hours later I threw up for reasons I cannot remember. I noticed that I had vomited the pills up and you could still plainly read the wording on it! I was amazed as I had never seen a pill do this before- they were forever known as the Superman of pills to me because not even stomach acids can bring ‘em down. They’re not supposed to dissolve until they hit the intestines (which is where they’re needed.)
Laurenne, 23 Student @ University of California, Davis.
Dx'd w/ IBS and CD in 2002
Just started taking Humira and feeling crazy good.


chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 4/1/2008 5:13 PM (GMT -7)   
Was it the pill, or just the shell of the pill that she had to remove? Asacol's shell is notorious for being found in poop!

BensMom
Regular Member


Date Joined Mar 2006
Total Posts : 57
   Posted 4/1/2008 6:55 PM (GMT -7)   

chroniemomx2,

I don't actually know whether it was the pill itself or just the shell.  The GI just said there were 3 Asacol that were in the colon that she had to remove.  I assumed they were the pills, but maybe I'm wrong.

I'm supposed to call the GI on Friday for the biopsy results, so I'm just going to ask her about the Asacol.  I wasn't thinking clearly enough yesterday when she was going through the results of Ben's colonoscopy with me.  I think we're heading towards Remicade.

Thanks for all of the replies.  They are much appreciated.

Take care,


Nancy
 
Son Ben, 13, diagnosed 3/06
Asacol, 6-MP, Culturelle, Fisol, Seacure, Multi


It's in the bag
Regular Member


Date Joined Aug 2007
Total Posts : 122
   Posted 4/1/2008 6:59 PM (GMT -7)   
It probably is just the shell definitely ask the Dr. so you feel better about it but that's probably all it was. Remicade is great...remicade is great I dunno what else to say. Remicade is great :) lol
Asacol 400mg x 8 dly , 50 mg Mercaptapurine x 1 dly , 40 mg Omeprazole x1 dly , Remicade every 2 months , Multivitamin , Fish Oil ,

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