I had trouble getting it all in too... I've never done the medication enemas, just the ones for preps but I think it's pretty much the same concept. I've found if you put the bottle in some warm water to get the enema liquid to room temperature and soften up the bottle, that helps alot. The feeling of cold liquid going up my intestines really creeps me out and it seems to make my reflex to go to the bathroom go off automatically.
It won't fall out if you stand up, but you might have a really strong urge to go to the bathroom, and for me it helps to stay laying down so it doesn't all rush to the bottom and try to come out. I understand that with the medication enemas you need to keep it in, so it would probably be best to do it shortly before bed that way you will be laying down and then eventually fall asleep which will slow your bowels and then they won't be trying to push it all out.
As for the next morning, as I said I've never actually had experience with these ones but I don't see why you would be having to go to the bathroom a bunch; they're not the laxative type enemas like you would use for a prep, so you should be fine there. Hopefully someone who uses these will be able to give better insight. I tried to get my previous doc to prescribe the enemas but his nurse told me that since I was on prednisone I couldn't take them because they were also a steroid enema.. When I told her I wanted to take the Rowasa enemas, not the Proctofoam, she said it was the same thing. Which they're not. But I just gave up trying with them.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; oste
openia in hip & lumbar region of the spine from long term prednisone use. Current Meds:
10mg Lexapro (for depression/social anxiety)
Digestive Advantage: Crohn's and Colitis formula (2 pills per day, started 5/14/08)
4800mg Asacol (Four 400mg tablets, three times a day)