when do liquid movements change to form-ever?

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jayce
Regular Member


Date Joined Nov 2007
Total Posts : 382
   Posted 12/26/2007 9:21 AM (GMT -7)   
daughter has gotten to the point of going 2-3 times daily, quite a bit less than the 8-10 or whatever many, she no longer sees blood for about a week now ,been on hydrocortisone enmas and messalimine suppositioris and enemas, but when she goes it is basically liquid, she believes from the enemas. so the movements ever become firm while on these inserts? we have added some fiber back to her diet. also she takes colazol and asacol.

thanks for all of your replies-you are wonderful.

the reason i am the one writing is because she really doesn't want to think about it anymore than she has to. i know the time will come when she is ready to face it but it's ok for me to shoulder it for now. believe me she's not in denial just not ready to talk.
Mom to 19 year old daughter diagnosed 11/07.


Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2148
   Posted 12/26/2007 9:35 AM (GMT -7)   
I can only go by what happened w/me. After about 2 weeks of using the hydrocortisone e's and the cipro I started to have a few small forms in my bm's, within a couple weeks of that they became more formed and now I am about 2 mos after that and am started to get almost fully formed bm's though they are still squishy, stringy and light brown but getting a little bigger week by week. I think it can take a while for the colon to heal.

HTH!
Beth, 32
Major Flare Sept/Oct 07 ~ working on remission almost there
UC Diagnosed March 2000 (30 cenitmeters)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) Diagnosed Sept 2007
Prednisone 60/40mg alt days 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Potassium 600mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 12/26/2007 9:36 AM (GMT -7)   
I use Rowasa enemas and take Asacol, and when I am in remission, I have fully formed bowel movements - only 1-2 per day. Even when I expel the remaining portion of the enema in the morning, the stool that comes out with it is fully formed.

There are people on this board who have negative reactions to mesalamine, so I am sure they will chime in as to whether or not that could be causing the trouble now. One question... is the liquid stool a new symptom (i.e. new since she has started the mesalamine drugs)? Or has it always been like that and just not gone away yet?

As for my opinion, while the liquid stool could be from the enemas, my thought is that your daughter is not into remission yet. Obtaining remission is a process, and it usually takes a while to achieve it. It is good that she is no longer seeing blood and that her bowel movements have declined in number. This means that she is on her way. She could still have active inflammation, though, which would result in the diaarhea. It may take a bit of time yet for the D to slow down.

One thing that surprised me about your post is that your daughter is taking Colazal and Asacol together at the same time. I have never heard of that... it's always been one or the other for me. Do you know why her GI has prescribed both?
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)
- Iron (2x per day)


NuffinButtTrouble
Veteran Member


Date Joined Mar 2007
Total Posts : 679
   Posted 12/26/2007 11:49 AM (GMT -7)   
PLEASE,

I have fully formed bm's, which was achieved through diet. However, please bear in mind that everyone is different and what works for me may not work for your daughter. I follow the following rules:

1. No Processed sugar (candies, cakes, sodas, fruit punch, gravey made with sugar, cookies, cereals, etc.)
2. No Dairy (especially milk & cheese, no breads...eggs are ok)
3. Reduced carbohydrate intake (less rice and spaghetti, etc.)

With these guidelines my bm's became fully formed, but it requires tremendous discipline to follow it. My energy levels also increased while following this...it's not a solution by any means, but it made my life more bearable. I saw results within two weeks of following this, BUT breaking the rules will cause swift setbacks/relapses.
ps.
My guess is that following this guide in 'addition' to her meds, she will see results quicker than expected. Do not stop taking meds unless her doctor/GI says so.
 
:-)  
NBT


Diagnosed with Ulcerative Colitis January 2007
Meds: Remicade, Primal Defense Ultra, Multi-vitamins (also iron, B12, Magnesium and Zinc), Flaxseed/Natures Bounty Fish Oil
Swanson Ultra Caprylic Acid (natural anti-fungal) 600mg x2 daily
Carrot & Garlic supplements (natural anti-fungal) x2 daily
Currently taking herbal meds in the search to regain full health.

Post Edited (NuffinButtTrouble) : 12/26/2007 11:56:20 AM (GMT-7)


quincy
Elite Member


Date Joined May 2003
Total Posts : 29860
   Posted 12/26/2007 12:58 PM (GMT -7)   
PLEASE said...
daughter has gotten to the point of going 2-3 times daily, quite a bit less than the 8-10 or whatever many, she no longer sees blood for about a week now ,been on hydrocortisone enmas and messalimine suppositioris and enemas, but when she goes it is basically liquid, she believes from the enemas. so the movements ever become firm while on these inserts? we have added some fiber back to her diet. also she takes colazol and asacol.
Could you clarify exactly how much of each med she's taking and when?
 
I wouldn't say it's because of the 5ASA enemas..it could be because she may be on a bit too much 5ASA in total.
 
You don't need to explain why you're asking the questions...it's awesome you're supportive of your daughter.  She IS taking her meds which is a good thing....not all need to talk about it or share how they're feeling. 
 
You're a great mom!
 
quincy
 
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 4th night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 12/26/2007 5:19 PM (GMT -7)   
Until the colon heals, it does not absorb liquids as it should, which can lead to the watery bowel movements. It could be that she's still in the healing stage. I did have firm bms while on the enemas, however, it took many weeks to heal my colon before that happened.

I think Quincy's ideas are good too - so that's more to explore.

I agree that you're a wonderful mother!
dg
Pan-colitis and GERD diagnosed May 2003
 
Asacol 12 per day,  Azathioprine 75mg, Rowasa and Canasa as needed
Aciphex, Effexor XR, BCP, Rhinocort nasal spray
Forvia and a Probiotic
 
Osteopenia (hip and spine) from prednisone use.  Started Azathioprine because I was steroid dependent.
 
Co-Mod for the UC forum
Keep HealingWell running smoothly:  www.healingwell.com/donate


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5136
   Posted 12/26/2007 7:14 PM (GMT -7)   
It takes a while before the waste begins to solidify. In my experience the meds that help most to achieve it are Cortenema, Cortifoam, & Colazal. Hopefully, your daughter can phase in Colazal to full-dose in another month & use with Rowasa and/or Canasa as needed, while tapering off the steroids. I can understand that she doesn't want to talk/write about it yet. I have really never felt like discussing my situation with anyone other than my gastro, except that fellow patients can give better feedback on the meds 'cause they're actually swallowing the stuff or pumping in enemas, too. / Old Hat (nearly 30 yrs with left-sided UC; currently on 3 Colazal daily for maintenance of remission)
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