Types of Enemas

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happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 8/3/2008 5:07 PM (GMT -6)   
Hello All,

I'm planning to request my GI to prescribe rectal enemas..
I'm not sure what is the best one.
What are the different types of Enemas?
Is it same kind to administer them...?
Is it tough to use it?
Right now i'm using suppositories and i don't have any problems...
How different is using Enemas when compared to Supposotory?

Sorry for putting lots of questions..But is all to understand as a new user...


Thanq and appreciate all your responses..

quincy
Elite Member


Date Joined May 2003
Total Posts : 30704
   Posted 8/3/2008 5:19 PM (GMT -6)   
There are 5-ASA enemas that come in liquid (2g and 4g dosage). They also come in foam, but in UK and Australia (and maybe other countries) but not in North America.

There are steroid enemas that come in liquid and foam.

The foam you can administer while sitting on the toilet, the liquid you must administer either laying on your left side or with butt in the air. Laying on your left side for half an hour will ensure it gets into the sigmoid colon.

It's not tough to use, it's sometimes tough to hold in sometimes. I've only had to let out two in the 19+ years of using them.

The enemas are better regarding concentration of med dosage.

Suppositories leak..I don't like them...I'd take the enemas any day.

If you're in the US...I'd suggest you get the Rowasa over the generic from what I read on here...the bottles are harder to squeeze..
If you're not, Salofalk or Asacol or Pentasa enemas are available.

Can't say enough positive about them...
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 !!!


happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 8/3/2008 5:42 PM (GMT -6)   
Hi Quincy,

My remission is not stable.
For 3-4 days or more than that I have no syptoms at all. But suddenly things change and started seeing Blood and Mucus..but no D..It is hard stool with blood mixed up with mucus..Bowel movements are varying some days 1 to 2 and some days 4-5.....
So it is becoming very tough for me to understand whether i was in remission or flare-up...Not consistent...........

Any thoughts from your end about my current situation..

I was on Pred for some days and after coming out of it problems started again. So after reading lots of posts here i thought i shouldn't go back to Pred.
Currently I'm on Lialda 4/ day and 1 canasa suppository at bed time.
My UC is left-sided and I came to know that Canasa supp can't be reached and can't be effective for left-sided. Is it true?
How is it different from Enema and Supp.. Both are used from the back and dissolved in the rectum?

Sorry for my ignorance and lots of questions..
It is just out of frustration and tough times....

Thanks in advance..

quincy
Elite Member


Date Joined May 2003
Total Posts : 30704
   Posted 8/4/2008 2:33 AM (GMT -6)   
Hi...lots of questions are good...at least you ask.

I can agree and relate to the frustration and the tough times...but since you're sill in the between stages and yo-yoing a bit...consider yourself in a flare.

I personally think it'd be best for you to at least try to use the oral/rectal 5ASA meds to the fullest until you get to the point where you see they're not doing it for you.

Remember that as you heal...up to down, your symptoms will vary. It's good you're not having diarrhea, meaning there's obviously some healing and the Lialda is doing its thing.

You now need to deal with the rectal symptoms with a more potent amount of medication and that's where the retention enemas come in.

Personally, I don't consider the suppositories as a "treatment"....I consider them more for maintenance or support for the enemas or for use as tapering...

The Rowasa 4g would be the best and they will get into and treat the sigmoid...it can take a few weeks to get it all under control. I was once on the nightly enemas for 4 months...yes, it was most frustrating.

Just know that the enemas aren't meant to treat above the sigmoid...that's the job of the oral meds...so don't worry about that part.

The oral 5ASA meds aren't enough to get and treat the entire sigmoid and definitely not the rectum no matter what some might say/believe.

The rectum is the first to inflame, the last to heal....it can be the most difficult to heal...so keep that in mind.

Request the enemas with lots of refills and a guarantee that the pharmacy or you can call for refills. Make an appointment with the doc in a month or two to touch base and revisit.

You'll have to taper them....so, once you're better doesn't mean to drop them...I've tried different tapering schedules throughout the years and came to realise that my body/butt pretty much rules.

Again, I can't say enough about how good the enemas are for me...19+ years strong and I just have started to use the 2g. It's been a teeny up and down this past month, but I'm alternating with 4g at every 3 (soon to be 4) nights.

There's been incredible assurance and independence for me to be using a medication regimen that hasn't yet required me to use any steroids or immuno meds. My UC has been controlled and although I do flare (life always gets in the way), it's been minimal. I dread the day they don't work, however...but until then, I'll take what is working. Oh, and I've been faithful to using them after I realised that denial and wishing symptoms away doesn't work that well..lol!

Any questions you have are welcomed on the forum...many have found their own techniques for using the enemas. I use Salofalk...but I understand the formulation is the same as Rowasa.

Hang tough...it's not the best ride, but the rewards as you look back can be obvious. It's not the remission that's important...it's how you get there and what you've learned from it.

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 !!!

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