I've had two surgeries and had never gone off asacol or the enemas beforehand.
5ASA meds...being that they're salicylates, can have a thinning of the blood effect.
What surgery is she having (unless you're uncomfortable to answer)?
Her surgeon is asking a LOT from her to go off the meds...she can request the doc do a blood clotting test. They did that for me in the hospital the night before the surgery...mine was perfect.
Have your girlfriend call her GI and get it straightened out before accepting the word of the surgeon if it's not necessary she go off the Asacol. The GI might be able to call and discuss it with the surgeon as well.
OH...how many is she taking daily? Is she on other meds as well as supplemets such as omega 3 oils, flax, vitamin E, etc? Those are other considerations before the 5ASA meds.
Since diet doesn't cause flaring, she should eat wisely and well balanced so that she's not in discomfort.
Welcome to the forum....
*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
~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 !!!