Posted 3/23/2008 3:20 AM (GMT -6)
Hi..I would suggest you start using them nightly for at least a week or more...then start to taper to every second night.

The suppositories are only 1/4 of the med dosage..but are easier to insert. Just don't expel gas..for they do leak and you won't feel it.

You can use them up to 3 times a day...so, it could be a good option for you now to get some fo the inflammation down....then go back to the enemas.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th 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 ....zymactive 3 - 5x 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 !!!

Posted 3/23/2008 2:05 PM (GMT -6)

Thanks Quincy. 

I used a Rowasa enema last night but w/o a BM first and had no problem at all, but I know they really should be used just following a BM for best results. 

I will ask my MD to prescribe the rowasa suppositories. 

I am also going to go to see my proctologist to see if the old fissure was acting up causing the sphincter issues.

Thanks again to everyone...a very thoughtful and helpful place! :-)

Posted 3/23/2008 2:33 PM (GMT -6)
If you don't have to have a bm....don't have one...simple.

There are nights where I have the slight urge and wait till I have one...but that's really not the norm for me.

Never force one.

Besides...it'll be OUT by morning. It's good you can hold it overnight.

Use them nightly for at least a few weeks....then consider to taper if everything for you has been normal for a whole week.

Any questions for tapering...ask. It's a learning process...it took me a while to learn how to juggle.

You really don't need the suppositories if you can hold the enemas...it's better the amount of med compared to the supps. Save them for either enema support during the days, tapering or for maintenance.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th 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 ....zymactive 3 - 5x 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 !!!

Posted 3/23/2008 5:18 PM (GMT -6)

Thanks.

The only reason I have a BM at night is per the directions on the rowasa enemas as it says it makes the treatments more effective.

Per my GI,  I was on once per night, then after a month went to every other night, then twice a week and other than the sphincter stuff I've been doing very well (thank the lord :-) )...I'm not sure if the sphincter issue is from my UC or an old fissure acting up as my stool has been so large, firm and solid (sorry for the nasty description) that it may have opened up the wound a bit causing the spasms...I guess my tail end needs to get used to having normal stool again.

Off the the butt doctor I go, high ho... tongue

Post Edited (bbc) : 3/23/2008 4:23:19 PM (GMT-6)

Posted 3/23/2008 8:45 PM (GMT -6)
Because the suppositories don't have as much medication as the enemas do, they didn't work for me in controlling my bleeding. So, something to consider, if you're paying for the meds out of pocket ask for a small trial amount; even if you have insurance, the pharmacy won't take unused meds, it would be a shame to throw them away if you have to go back to enemas.
Posted 3/23/2008 8:57 PM (GMT -6)

Thanks Lucy :-)

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