Welcome to HealingWell, new to the game. It could be a number of things: diarrhea from the antibiotics, adverse reaction to the Asacol or the meds haven't kicked in yet. It hasn't really been long enough to know what's going on.
One to two days is about
the right time frame for diarrhea from antibiotics, so that would be my first guess. You might consider getting yourself on a generous dose of probiotics to replace the "good" bacteria the antibiotics are killing. This should be taken at least two to three hours after your last daily dose of antibiotics.
Asacol can cause increased diarrhea, bleeding and cramping in some people. It could be your body adjusting to the medication, or it could be that you're not able to tolerate it. If the latter, there are other options that can be prescribed. I'd suggest giving it a week, or so.
It usually takes some time to start seeing results from Asacol. Prednisone is usually quicker, but can take one to two weeks for some of us.
It's unlikely to be something you ate, in my opinion. It sounds as if you're eating pretty light food. You'll hear differing opinions here on diet, as we all react differently (this is one of the frustrating things about
dealing with UC - remedies aren't just "one size fits all.") In my case during a flare, I try to eat a fairly low-fat, low fiber diet without highly spiced foods. I've just learned over the years that fatty foods, raw fruits and veggies and spice don't have good results on my inflamed colon. For me, my doctor's advice was good when he said "Eat whatever you want, and if you notice certain foods bother you, don't eat them." The problem is, during a bad flare I can never really tell what's bothering me, so it takes time to work that out.
Do you have an appointment with a good GI for follow-up? That's critical in managing UC, because most primary care doctors see so little of it they aren't really that knowledgable. My PC doctor updates her knowledge every time she sees me! If you didn't have a colonoscopy, you should have that to see how much of your colon is involved and how severe the problem is, as well as to establish your diagnosis.
When you see a GI doctor, be sure to ask about
rectal medications. For many of us, Rowasa (mesalamine) or steroid enemas are the final thing it takes to get us into and maintain a remission. The Asacol works through direct contact with the colon wall, and frequenly not enough makes it to the sigmoid and rectum to help those areas. Rectal drugs can bridge this gap.
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Asacol, Rowasa, Pentasa, Prednisone, Entocort, Azathioprine
Colazal, Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
Co-Moderator UC Forum