Asacol: Enema vs. Suppository???

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Alford
New Member


Date Joined Nov 2009
Total Posts : 8
   Posted 12/7/2009 1:41 PM (GMT -7)   
If targeting rectal and lower colon inflammation, How would one decide whether to use Asacol in Enema versus Suppository form? I'm having good results with Asacol in pill form, but I think I think I need to try the other types, maybe even in combination.

Thanks

WriterMum
Regular Member


Date Joined Apr 2009
Total Posts : 166
   Posted 12/7/2009 4:21 PM (GMT -7)   
I have used both Salofalk enema and suppository alone and also together when I was flaring badly. My opinion is that it just depends if you can handle the enema. I didn't mind it, but it is a lot of liquid that you have to hold in for a while and then get to the toilet without letting go! If you have an issue with urgency and explosive BM's then the enema can be challenging. The enema does go a bit higher that the suppositories. I find the suppositories pretty easy, and they do a good job of keeping my rectal bleeding and pain under control along with the pills.
44 years old. Diagnosed with moderate to severe Crohn's in April 2005. Hiatus hernia diagnosed in 2008. Had Crohn's under control until March this year when I had a major flare up and ended up in hospital. Diagnosis is now CD and IBS. Getting it under control again.
Currently taking: Salofalk 2000 mg, Calcium and Vitamin D, Matamucil, Yogurt for probiotics, Salofalk suppositories as needed.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 12/7/2009 4:29 PM (GMT -7)   
Foam is better as it can reach a little further up than suppos....I personally never had luck with anything other than Cortifoam rectal meds, in my 18 yrs experiance with this disease nothing else has ever helped only cortifoam.

:)

WriterMum
Regular Member


Date Joined Apr 2009
Total Posts : 166
   Posted 12/7/2009 4:51 PM (GMT -7)   
Funnily enough, the Cortifoam didn't work for me at all. Then again, prednisone worked once and then took at lot of time to work the second time. I also found the foam annoying to deal with. You have to do several steps, and it just felt like too much work. I like the suppositories because you pop 1 in and leave it. When you next go to the bathroom the excess comes out. Both the enema liquid and foam are a bit more messy.
44 years old. Diagnosed with moderate to severe Crohn's in April 2005. Hiatus hernia diagnosed in 2008. Had Crohn's under control until March this year when I had a major flare up and ended up in hospital. Diagnosis is now CD and IBS. Getting it under control again.
Currently taking: Salofalk 2000 mg, Calcium and Vitamin D, Matamucil, Yogurt for probiotics, Salofalk suppositories as needed.


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 12/7/2009 5:30 PM (GMT -7)   
::popping in from UC::
I guess you have to decide how much of the colon you want to treat. If you're just worried about the rectum, then suppositories would make more sense. If you want to treat the distal colon, then go for enemas. I have pancolitis, and I plan on staying on both oral and rectal meds for maintenance, using mesalamine enemas 2x/week. Studies show that people with UC who use enemas twice weekly + oral meds stay in remission for longer than those who only use oral meds.
Co-Moderator, UC Forum
Status: Remission since May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son
Diagnosed with pancolitis on 1/30/09
Meds: Apriso (4 0.375g pills ONCE!! daily), mesalamine enema twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, OrthoNovum, multivitamin.  Used prednisone (starting dose 40 mg) to get into remission.
Thread with links to UC resources and  information:
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 12/7/2009 7:28 PM (GMT -7)   
Sometimes it can take a while for cortifoam to kick in too, I'v been on it for as long as a year before tapering off of it...of course with crohn's when proctitis (inflammation of the rectom) is an issue it can be harder to treat than UC since with CD the inflammation often goes through the many layers of the lining where as with UC it remains surfaceable only, that alone can make it tougher/longer to treat with having crohn's compared to UC.
:)
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