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Dr-A
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Date Joined Jul 2006
Total Posts : 2105
   Posted 4/7/2008 9:28 AM (GMT -7)   
What's the easiest to hold in and be affective? I use the hydrocort enemas atm. Some of them cause irritation themselves due to the poor made tips which can cause scratching. If I can get half one in and it stays it works well, but I end up wasting half of them. If I have time I prepare some distilled water or ozone water, aloe and vitamin E solution to use first to help flush out the lower portion, but there's not always time to do that.

Red_34
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Date Joined Apr 2004
Total Posts : 23551
   Posted 4/7/2008 10:03 AM (GMT -7)   
You can try using some vaseline on the tips to making insertion easier. If you can retain them for at least 3 hours then you are at least getting some of the med but it's best to retain overnight. The first few minutes the urge is great to expel them but if you can make it thru that then it will get easier. Also you can try warming the bottle up before hand. It will cause less cramping. You can do this by running it under warm water or rolling it around in your hand before applying.
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jamo0001
Regular Member


Date Joined Apr 2007
Total Posts : 75
   Posted 4/7/2008 10:49 AM (GMT -7)   
I'm sorry, but this thread title really has me laughing.

I had some mesalamine enemas by Rowasa that were NOT easy to hold, if that helps any.
James

21 yrs old, diagnosed severe pan ulcerative colitis 2 Mar 2007
Hospitalized 27 Apr-5 May 2007
Remission since 4 July 2007
Asacol (mesalamine) 400 mg x 12 daily
Remicade <--first infusion on 3 May 2007; currently once every 8 weeks
Imuran (azathioprine) 50 mg x 2 daily
Eating fruits and vegetables like there is no tomorrow...
"God bless Remicade!"


dakotagirl
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Date Joined Apr 2006
Total Posts : 3402
   Posted 4/7/2008 10:58 AM (GMT -7)   
Sometimes if I can get my butt up in the air after administering, that helps. I will try the yoga downward dog position or a weak attempt at a hand stand or laying on my back and flipping my legs over so my toes try to touch the ground behind my head (best attempted closer to remission). I know a few other have mentioned propping themselves up against the wall or bed. Usually just the thought of retaining that position gets me through the need to expel phase. But right now I'm so inflammed that retaining anything has been difficult at best.

Yes, the title of the post provided some much needed comic relief!
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
Status:  Flaring :(
 
40mg pred, Asacol 12 per day,  Azathioprine 75mg, Rowasa, Canasa, Aciphex, Forvia, and Pro-Bio
 
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Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 4/7/2008 11:39 AM (GMT -7)   
I have developed no shame in my approach these days, lol. Some of the tips are horrid no matter what... I have tried vasoline, vitamin E oil, lube stuff, A & D stuff for babies seems to be best so far. I've heard the burt's bees diaper rash stuff was great, so I'll give that a go next.

I remember using the mesalamine before, it was definately worse than these, but the tips on those where much better made. Anyone thoughts on cortifoam or the suppositories? I don't really know of any other prescription type meds for that area. Hydrocort/Mesalamine/Cortifoam.

I have yet to stand on my head, lol. Nothing worse than the cats wondering in when I am attempting to get things in. I have been lying on my left side, which typically works, but like you said when you are really flared nothing wants to stay in. I think one of those tips gave me a nice scratch which made things worse this weekend.

On a good note, this is the first flare I have had in 17 months.
Proctitis DX 1998
Lialda 1x day
Hydrocor Enema As Needed


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 4/7/2008 3:54 PM (GMT -7)   
I like Aquaphor as well. Basically an enhanced petrolatum jelly. Heals scratches/cuts quickly.

I don't have nearly the luck with the left side method as I have with the hands and knees method.

I like cortifoam. It's the only one I'm able to retain right now. But I'm having such issues with the canister! I'm chalking it up to being a newbie.

I hope this flare is short lived and that you're back in remission soon!
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
Status:  Flaring :(
 
40mg pred, Asacol 12 per day,  Azathioprine 75mg, Rowasa, Canasa, Aciphex, Forvia, and Pro-Bio
 
Co-Mod for the UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 4/7/2008 5:56 PM (GMT -7)   
What's the difference with the cortifoam? Consistency? Potency? What's up with the canister that is giving you problems?
Proctitis DX 1998
Lialda 1x day
Hydrocort Enema As Needed


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 4/7/2008 6:01 PM (GMT -7)   
The cortifoam is a steroid foam. It's a much smaller dose than an enema. Very light - easy to retain without the 30 minutes of laying on your side...

It seems to soothe my rectum PDQ.

I seem to remember someone talking about occasionally getting a wonky canister or cap. Maybe that? I did have slightly better luck this morning. I was a bit more FIRM with the pressure getting it to dispense... I'll just keep trying until it's empty.
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
Status:  Flaring :(
 
40mg pred, Asacol 12 per day,  Azathioprine 75mg, Rowasa, Canasa, Aciphex, Forvia, and Pro-Bio
 
Co-Mod for the UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5151
   Posted 4/7/2008 9:04 PM (GMT -7)   
We did a thread on Cortifoam a couple months back where there was discussion about some canister caps being defective. As I recall, Another UC Wife wrote that she could get ca. 15 applications out of one canister-- so she has the technique down pat. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])
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