idk what to do.

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Regular Member

Date Joined Dec 2008
Total Posts : 44
   Posted 8/6/2009 6:51 PM (GMT -7)   
i was diagnosed with crohn's in december of 2008 i was put on asacol right away and later sulfasalazine.  lately i have found my asacol in my stools and it doesnt seem to be working (probably because its going right through me ha ha ha) the problem is i dont have insurance anymore and wont have it until october 1st through work.  i dont know if i can handle this until october i am consantly in the bathroom and i cant eat because when i eat i feel sick.  i dont know what to do just was wondering if anyone else had this problem with pills in stool? any advice?
"I feel infinite." -the perks of being a wallflower

Veteran Member

Date Joined Jul 2006
Total Posts : 6927
   Posted 8/6/2009 6:58 PM (GMT -7)   
Unfortunately I solved this by going on injectable meds (MTX in my case).
Forum Co-moderator - Crohn's Disease/Thyroid Disorders:_All comments have the caveat contact your local health care provider.

I will find a way or make one. –Phillip Sidney 1554-1586

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Veteran Member

Date Joined Feb 2009
Total Posts : 529
   Posted 8/6/2009 7:10 PM (GMT -7)   
I know with Pentasa it's normal to see it in your stool if I remember correctly, should be the same with Asacol since it's the same drug. Asacol/Pentasa don't do anything at all in a lot of people (including me), so it really doesn't surprise me. I've never tried sulfasalazine, but it seems to take a lot of experimentation to find the right medication(s), and if you're still having problems, you should really discuss your options about finding something else to try with your doctor. I know that personally I wouldn't be able to stand a couple more months of it, so maybe your doctor could help you out with samples and stuff in the meantime. I'm on Entocort right now and it has helped me a lot (been on it since March), still having some minor problems but they're mostly related to a stomach ulcer I have. Entocort is really expensive though, without insurance for me it would be $200/month (and I just fell off my parents' insurance 2 days ago, so that'll be fun to pay for!), but have you considered trying Prednisone or anything like that? I think Pred is quite a bit cheaper than Entocort, and works pretty quickly at getting your symptoms under control.

Regular Member

Date Joined Jan 2006
Total Posts : 80
   Posted 8/6/2009 8:18 PM (GMT -7)   
I think what you are seeing is the shell of the Asacol. I have been taking it for 8 years and see the same thing. It has been discussed on here before and I hope someone will come along and explain why it is that way as I have forgotten why. From what I remember of the posts before, it is normal for it to be that way.

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 8/7/2009 6:22 AM (GMT -7)   
Nitat is correct, it is the shell you are seeing in your stool, not the actually medication. I have been on Asacol for years and I see the shells all the time. Sometimes, I will see them sooner when I have increased frequency. What happens is the medication does not start leeching out until its in your intestines. The medication inside leeches out into your system then you pass the shell. To me it sounds like you need a stronger medication. Maybe you need to go back on Predisone to help quiet things down. This is an inexpensive med and may help to get you feeling better sooner.

Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*
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