why enemas for UC but not Crohn's colitis

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Octobergirl
Regular Member


Date Joined Aug 2009
Total Posts : 377
   Posted 2/18/2010 2:32 PM (GMT -7)   
I know that an enema for someone who has Crohn's in their small intestine would not be effective. What I'm wondering is why enemas are prescribed for people with UC, but not for people with Crohn's colitis. Anybody know? (Not that I want to experience an enema, but if it helped...)

Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 2/18/2010 2:40 PM (GMT -7)   
well I am having a flare at the moment, and I have been given prednisone enemas and I have Crohns not UC so I think they are given for both.
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections


sr5599
Veteran Member


Date Joined Aug 2007
Total Posts : 1202
   Posted 2/18/2010 2:51 PM (GMT -7)   
I've used enemas on and off. Right now I have budesonide compounded into suppositories and have been using them for about a year now. (Easier on the system than pred since it's metabolized more quickly/easily). They don't help the ulcers further up, but it helps in the rectal area which is where my Crohn's is the worst.
1 fistula, crohn's colitis, limited to large intestine
Compounded budesonide 3mg/daily, Cimzia, MTX . Dx Osteoporosis 10/08 started Forteo 1/27/09


spookyh
Veteran Member


Date Joined Oct 2008
Total Posts : 1342
   Posted 2/18/2010 4:33 PM (GMT -7)   
I had Rowasa enemas prescribed back when I had severe peri-rectal disease. Thankfully, I don't need them anymore.
34 years old, Crohn's disease for 15 of them
Resection of ileocecal valve on 09/22/09
Current Meds: LDN, Pentasa, Effexor XR, Zyrtec
Supplements: 3 kinds of Fish Oil, Multi-Vitamin, Vitamin D, Calcium, Magnesium, Coconut Oil, Garlic Oil, CoQ10, Enzymes
SCD since 12/01/08 - eating Stage 3 foods


*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 2/18/2010 5:09 PM (GMT -7)   
I had colifoam rectal enemas prescribed for peri-anal disease including abscess/fistula/fissure. They are very effective – effectively a steroid enema. VERY expensive though!

Octobergirl
Regular Member


Date Joined Aug 2009
Total Posts : 377
   Posted 2/18/2010 6:25 PM (GMT -7)   
Oh, sorry for the confusion. I just hadn't read anything about enemas used for Crohn's and had seen a lot of info. on enemas for UC. I'm wondering why my doctor hasn't prescribed them, are they mostly for peri-rectal disease? Or are they effective for your colon?

*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 2/18/2010 6:50 PM (GMT -7)   
I’m not sure about the scope of their use – but mine were prescribed for fissures/fistula/abscess (rectal disease). I’m not sure ‘how far up’ they go :)

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 2/18/2010 7:27 PM (GMT -7)   
Rectal meds are used for crohnies when proctitis is an issue (proctitis is inflammation of the rectom) which can happen for UCers (since often that's where UC starts) and for CD since CD can affect any part of the GI tract from mouth to anus. Rectal meds are also used for CDers to help treat anal issues, which is something UCers never get, UC is limited to the rectom/colon...CD is not limited, it can affect any part of the GI tract and more than one area at a time as well.
 
Rectal meds don't generally reach high enough into the colon, so when you have crohn's colitis, rectal meds won't likely have any impact unless your rectom is also flaring...reason why most UCers use rectal meds is because it's more common for them to have rectal involvement.  Fro crohn's colitis, the same oral meds are used to treat it just as what's used to treat UC, asacol, pentasa, ect.

:)


bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

Post Edited (pb4) : 2/18/2010 7:30:04 PM (GMT-7)


*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 2/18/2010 7:58 PM (GMT -7)   

Thanks pb4, that’s really interesting. I am currently on remicade, but the specialist I was with before, who neglected by condition completely and did not even mention TNF therapies, used to prescribe me the colifoam when I had rectal issues/infection.


80sChick
Veteran Member


Date Joined Oct 2009
Total Posts : 1054
   Posted 2/18/2010 9:37 PM (GMT -7)   
I have Crohns Colitis and am currently using Cortifoam enemas.
28 Year old Female
Diagnosed with Crohn's Colitis March 2000
Recent possible diagnosis of IBS-D
 
Tried Meds: Asacol, Remicade, 6mp, Humira, Xifaxan, Apriso, Rowasa Enemas.
 
Currently on: 25mg Prednisone (Tapering SLOWLY from 60), 125mg Imuran, Psyllium Seed Powder, Colocort Enemas, Prenatal Vitamin, Vitamin B 12 Complex, Vitamin D/Calcium, Vesicare (for urinary retention). 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 2/18/2010 10:47 PM (GMT -7)   
I have crohn's colitis too and have often had to use rectal meds, since having crohn's colitis makesus a little more vulnerable to getting proctitis being the rectom is right close to the colon. Cortifoam is the only rectal med that helps me when needed.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


JavaJay
Regular Member


Date Joined Mar 2009
Total Posts : 452
   Posted 2/19/2010 5:24 AM (GMT -7)   
Octobergirl...are you talking about medicated enimas or the regular fleet enemas.  I was told by one dr. that the fleet type can actually damage the CD even more and that I should never take it as a prep.  I am sure the medicated type are vastly different than the fleets and so they aren't bad.
36 yr old Male with Crohn's Disease since '88 - No Surgery yet
 
Been on almost every type of drug with bad results
Remicade since Nov 2009
Prilosec 20.6mg - 2x a day
Multivitamin daily

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