which side do youlay on when using enema

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jayce
Regular Member


Date Joined Nov 2007
Total Posts : 382
   Posted 1/4/2008 7:31 AM (GMT -7)   
i don't remember which side the dr said to lay on when using enema, i think she said prop pillows under your right side, that would lean you to the left. any input?thanks
Mom to 19 year old daughter diagnosed 11/07.
asacol 2 3x daily
colazal 3 3x daily
proctofoam 3x daily
mesalamine enema 1x daily
canasa suppostiories 3x daily (usually doesn't get to do 3)
culturelle probiotic 1 daily
chewable vitamin
hydrocortisone enema at bed tme


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10405
   Posted 1/4/2008 7:33 AM (GMT -7)   
Left side. That helps the fluid get past the sigmoid curve, and also helps keep the fluid in if you stay on that side for a time.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Intolerant to Asacol and rectal mesalamine preparations.
On Prednisone then Entocort 2001-2006 with only short periods off. 
Current meds are Colazal, Azathioprine Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
 


princesa
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Date Joined Aug 2007
Total Posts : 2198
   Posted 1/4/2008 8:08 AM (GMT -7)   
Always start out on your left side. You can prop pillows under your hip to invert your pelvis and help the enema flow into the colon. You can also use abdominal massage - up the left side, across the transverse and down the right side - to help move the enema contents along.
Diagnosed with ulcerative colitis spring 1999
 
Therapeutic dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal.
 
 


Old Hat
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Date Joined Feb 2007
Total Posts : 5135
   Posted 1/4/2008 8:34 AM (GMT -7)   
Lie on left side. The preferred position is essentially the same one used for colonoscopy & should appear in diagram on the enema package insert. (Keep left leg straight & bend right leg slightly & cross over left-- right knee can touch bed, helping to keep the body stabile.) It is recommended to maintain this position for half an hour-- to give the liquid time to diffuse to the sigmoid colon. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

Beth75
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Date Joined Jul 2007
Total Posts : 2148
   Posted 1/4/2008 12:43 PM (GMT -7)   
left side and also I found pointing it towards my uterus slightly instead of straight helped get in in much easier, just a slight tilt made all the difference for me.
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.


julee70
Regular Member


Date Joined Oct 2007
Total Posts : 486
   Posted 1/4/2008 3:56 PM (GMT -7)   
There was a discussion on here recently about how it can be uncomfortable to lie on your left side. I think a bunch of us said that we felt our insides rumble and then the urge to go to the bathroom. I'm just mentioning that because laying on your left side IS exactly what you should do after the enema but it can be a bit difficult sometimes.

If it starts to seem impossible, I tilt a little back toward the right. I figure it's better than just giving up and running to the bathroom.
-------
UC for the last ten years
Current Meds: 6MP
Past Meds: You name it; I've tried it.


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10405
   Posted 1/4/2008 4:15 PM (GMT -7)   
You can also lie on your stomach with your bum in the air. Not a very dignified position, but very effective.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Intolerant to Asacol and rectal mesalamine preparations.
On Prednisone then Entocort 2001-2006 with only short periods off. 
Current meds are Colazal, Azathioprine Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 1/4/2008 4:29 PM (GMT -7)   
Who would want to stay in that position for half an hour? That's the way they used to do the old rigid sigmoidoscope exams. / Old Hat

jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10405
   Posted 1/4/2008 10:00 PM (GMT -7)   
Darlin', no one would want to, but some people seemed to be saying they have trouble lying on their left sides. I have seen people for whom this alternative is more comfortable. And I've assisted with quite a few of those horrendous old sigmoidoscopies. So glad the flexible endoscope was developed before I came down with UC!
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Intolerant to Asacol and rectal mesalamine preparations.
On Prednisone then Entocort 2001-2006 with only short periods off. 
Current meds are Colazal, Azathioprine Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
 


marty1976
Veteran Member


Date Joined Nov 2005
Total Posts : 2045
   Posted 1/5/2008 5:38 AM (GMT -7)   
Lying on the left side is the correct method of using an enema. BUt if you are having trouble doing this or pain try lying on your back or your right side. The main thing is to ensure that the enema stays in.
Hope this helps
Marty
                                     keep the faith 

         asacol/proctifoam/Zoton (lansoprazole)/propranalol



        http://www.myspace.com/martybuzz1<FONT]


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 1/5/2008 10:32 AM (GMT -7)   
I second fatboyslim's recommendation. That's the best way to keep in enema if/when left-side pain is forcing you to expel it-- usually at the beginning of treatment. Take some deep breaths & roll over onto your back, then onto right side if back feels problematic. / Old Hat

quincy
Elite Member


Date Joined May 2003
Total Posts : 29860
   Posted 1/5/2008 1:43 PM (GMT -7)   
Actually, the enemas don't have to go higher than the sigmoid..that's what oral meds are for...

Ditto Marty....the point is to have it stay in.

My inflammation is very low and only lay on the left side for a short time (can't see the TV on my left side..lol!)....I can tell from bms it's gotten to the sigmoid anyway.

Find whatever position is easiest to keep it in. Having rectal meds is better than no rectal meds.

quincy
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~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 !!!


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 1/5/2008 2:08 PM (GMT -7)   
You can't see the TV? Quincy, I'm shocked by this true confession! (Heeheehee.) / Old Hat

jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10405
   Posted 1/5/2008 5:17 PM (GMT -7)   
I always had to lie on my left side for at least an hour or the urge to go would get too strong. Then the mesalamine made my D worse anyway, so that was the end of Rowasa for me.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Intolerant to Asacol and rectal mesalamine preparations.
On Prednisone then Entocort 2001-2006 with only short periods off. 
Current meds are Colazal, Azathioprine Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 29860
   Posted 1/5/2008 11:18 PM (GMT -7)   
Old Hat said...
You can't see the TV? Quincy, I'm shocked by this true confession! (Heeheehee.) / Old Hat
sigh...sad but true..lol!
 
q
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~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 !!!


Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2148
   Posted 1/6/2008 10:48 AM (GMT -7)   
lol, Quincy, me too, I can only see the tv laying on my right side, so then I flipped around so my head was at the end of the bed where my feet usually are so I could see it..........but could not do that all the time, husband's feet are quite smelly and did not want to fall asleep and wake up to that = )
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.


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 1/6/2008 10:56 AM (GMT -7)   
Quincy & Beth75: what about recruiting hubby to move either TV or bed for better viewing options? (Heh, heh.) / Old Hat

quincy
Elite Member


Date Joined May 2003
Total Posts : 29860
   Posted 1/6/2008 11:13 AM (GMT -7)   
Beth..lol! not the best position for sure! You'll have to get him to try Gehwol foot products.

OH...good idea, but wouldn't work in our room. Maybe if we eventually get a flat screen we'll put it on the wall in a more central positon. The ther option is to just listen for half an hour..but what's the fun in that? ;-)

quincy
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~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 !!!


Sideshowbob
Veteran Member


Date Joined Sep 2005
Total Posts : 698
   Posted 1/6/2008 11:23 AM (GMT -7)   
I guess I am odd man out here. I couldn't put it in on my side or stomach, so i actually do it standing up. Very easy and I can reach properly. Then I just go lie down. I never seem to have any trouble retaining it either. I just insert, squeeze the meds in, and then go upstairs to bed and sleep for the night. Am I perhaps not getting the meds far enough in to make it stay? What if i walk around on my hands a bit before bed? (obviously the last question is a joke ;))
35 year old Male, Husband, Father of the best three kids in the universe.
First Flare was February 2005. Diagnosed June 2005-left-sided Colitis, suspect it has since spread. Started 4000 mg Oral Salofalk June 2005-stopped January 2007. Remission until November 2006. Been in a flare to various degrees since November 2006 to February 2007. Currently in remission.
Presently on 0 mg Prednisone-down from 60 mg!
Weekly 4000 mg Salofalk enemas.
Daily 4000 mg Salofalk oral.
Started Omeprazole 20 mg February 2007.
Co-Moderator-UC Forum

Post Edited (Sideshowbob) : 1/6/2008 1:31:17 PM (GMT-7)


quincy
Elite Member


Date Joined May 2003
Total Posts : 29860
   Posted 1/6/2008 11:25 AM (GMT -7)   
Bob...whatever works.

q
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~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 !!!

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