Baby Delivery and UC

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meg1
New Member


Date Joined Jan 2008
Total Posts : 3
   Posted 2/7/2008 11:23 AM (GMT -6)   
I am due to deliver my 2nd child in about a week and have had some flaring with blood for about 3 weeks.  It hasn't been too severe and is kind of on and off with the blood.  I usually have 4-5 BM's most occurring in the morning.  My OBGYN is recommending 40mg of Prednisone to prevent further flaring during or after delivery but I am hesitant since I don't think I'm in a bad flare right now and with all I've heard about Prednisone.  I'm thinking my body may be responding to pre-labor changes.  Has anyone had experiences with their UC getting worse during or right after delivery?  I'm not sure if I should take it as a preventitive measure or just wait to see if I need it after.  
 
 
Diagnosed with Pancolitis Feb 2007
Current Meds: Asacol 4 pills 3x/day 

princesscolon
Veteran Member


Date Joined Apr 2006
Total Posts : 733
   Posted 2/7/2008 12:08 PM (GMT -6)   
I had more frequent BMs towards the end of my pregnancies, I figured it was from the pressure on the colon. I personally would not get on the Prednisone while pregnant, it's your decision. If you aren't feeling you aren't that bad, I really wouldn't do it. I'd try not to eat very heavy foods and be careful not to get dehydrated and watch out for any worsening symptoms. It would be safer in my opinion, to take some sort of enema or foam, have you tried those ever?
Diagnosed with Left-sided Ulcerative Colitis 1995 at 15, Tried: Prednisone, Rowasa & Hydrocort. Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Canasa, Enotcort, Colazol, Anamantle, etc... had almost recto-vaginal fistula in 2004, put on Remicade, August 2007:Increased Remicade dosage-700mg every 6 weeks,diagnosed w/ Psoriatic Arthritis & Fibromyalgia Current meds: Remicade 700mgs every 6 wks (had reaction, will start Humira Feb 11) Clorazepate, Proctofoam HC, Glucosamine 500, Vitamin B, Lomotil,  Tylenol pm, Lyrica for Fibromyalgia started 1/17/08


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 2/7/2008 12:28 PM (GMT -6)   
Before the birth of my daughter, I started getting symptoms too (before that I was in a glorious remission!). I used Rowasa to help but I really started flaring about 6 months after I had her. Before then, I only had sporadic symptoms.

Btw, congrats and I hope the delivery goes smoothly.......also welcome to Healingwell! :)
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc -'92 - Colazal (9 daily), 6mp (50-100mgs), Prilosec, Biotin, Forvia, Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa** ~Allergies - Singulair
~Secondary Reynauds Syndrome -'04 - Norvasc~Fibromyalgia -'06~No meds
To help Healingwell - click here: DONATE
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momhatesuc
Regular Member


Date Joined Sep 2006
Total Posts : 78
   Posted 2/7/2008 1:18 PM (GMT -6)   
I definitely know what it is like for UC to flare up with hormonal changes.  I took prednisone during my first pregnancy and had to have a stress dose of steroids during labor to keep my adrenal gland working properly.  I did not see any adverse effects.  My dr said that many people take pred while pregnant for asthma and many other problems and that it is considered safe.  I flared terribly within a few months of having my daughter.  With my second daughter (just a year ago) I didn't flare until after I quit breastfeeding (also a hormonal change).  I would definitely seek a way to stop the blood.  You'll have enough other things to worry about soon.  Like the previous post suggested I would try mesalamine enemas or even hydrocortisone enemas first.  But if you do end up on pred you and the baby will be fine.  Good luck!
Leslie, 30~ left-sided UC diagnosed in 1999
9 asacol x day
nightly rowasa (as needed)
multi-vitamin, calcium


quincy
Elite Member


Date Joined May 2003
Total Posts : 30703
   Posted 2/7/2008 1:57 PM (GMT -6)   
I'd suggest you do the rectal meds waaaaaay before the prednisone. you'll also have hormonal ups and downs that the pred can possibly exacerbate.

Rowasa (if you're in the US) would be the first suggestion...it's a 5ASA retention enema.

Hope your delivery goes well. Let us know how it all goes and hopefully announce your newest family member.

Welcome to the forum,
quincy
*Heather*Status: mini flare Dec 28... tapered to every second night
~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 !!!


meg1
New Member


Date Joined Jan 2008
Total Posts : 3
   Posted 2/7/2008 5:13 PM (GMT -6)   

Thanks for all of your responses.  I really appreciate it.  I would try the rectal meds but for some reason I'm thinking I read that they are not effective in people with pancolitis.  I'm also wondering why my GI doctor wouldn't have brought it up 1st over Prednisone.  Do they usually prescribe it or do you get it somewhere else?  I'm leaning toward waiting since the blood is not every time and I'm really running out of time since the doctor said I could go any day now.  I am concerned about the side effects such as insomnia and hormonal changes since I don't need those combined with having a baby and those hormonal changes and not sleeping, etc.  However if I end up in a terrible flare it won't be good either so I'm just too confused. :-)

 

DIAGNOSED with Pancolitis Feb 2007

Current Meds: Asacol 4 pills 3x/day    

 

quincy
Elite Member


Date Joined May 2003
Total Posts : 30703
   Posted 2/8/2008 2:03 AM (GMT -6)   
pancolitis......the rectum and all above will be affected...you're already on asacol which will NOT fully treat the rectum or even the sigmoid. Rectal meds deal with that end (consider that's where it starts) ...they are not meant to treat the whole colon...it's not even a point of support for not using them.

Many doctors have an aversion to rectal meds possibly and therefore assume their patients my as well I suppose. I've used rectal meds in conjunction with oral....5ASA only....for over 19 years. I must conclude that they work because I've never been as bad as when I was diagnosed. Many ups and downs during the first two years, but by the third year I had the rectal meds increase during flare and tapering to maintenance down to a fine juggling act.

Request Rowasa (I'm assuming you're in the US)....it's a retention 5ASA enema to be inserted nightly for however long you need until your symptoms stop...then you'd start tapering (we can help you with that).

Please do your homework and read information regarding meds for UC. Try the rectal 5ASA enemas. They do take longer to work. If you are using them and they're not fast enough, you might consider to ask the doc for a steroid foam enema in the morning and the 5ASA retention enema at night.

I hope you can find some resolve regarding meds.

keep us posted,
quincy
*Heather*Status: mini flare Dec 28... tapered to every second night
~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 !!!


meg1
New Member


Date Joined Jan 2008
Total Posts : 3
   Posted 2/8/2008 10:55 AM (GMT -6)   

Thanks for the information regarding the enemas.  I will call my doctor today to discuss and request Rowasa as I am in the US.  I'll let you guys know how it all goes.  Thanks again!

Diagnosed with Pancolitis Feb 2007

Current Meds: Asacol 4 pills 3x/day 

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