Rectal Medication

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LondonRed
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Date Joined Oct 2007
Total Posts : 1190
   Posted 8/30/2008 1:27 AM (GMT -6)   
I am considering going on rectal meds but not steroid ones.
 
Is there a 5-ASA version? I don't like taking oral meds and would much rather have a suppository once a night. My bleeding is from piles but it might be (small chance) coming from the rectum - so I have these questions.
 
1. Are there any rectal meds that can treat both the inflammation and the piles at the same time?
 
2. Can the rectal meds treat the whole colon or just the rectum? (I have some small inflammation on the right side)
 
3. Rectal meds are invasive but I am fine with that so long as it works!
 
Please advise.


Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)


Red_34
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Date Joined Apr 2004
Total Posts : 23551
   Posted 8/30/2008 5:44 AM (GMT -6)   
Yes, they have here in the states a 5-ASA rectal med called Rowasa or elsewhere Salofalk enemas. They treat up to the sigmoid section of the colon. I found that they don't control swelling of piles though. I can't use the standard 5-ASA's or mesalamines anymore so I have to use the steroid enemas. I found that they treat my internal hemmie pretty effectively as well as control my rectal symptoms. If you don't want to go the steroid route, you can use a 5-ASA enema and maybe if it doesn't help with the pile ask the doc for a steroid suppository. There is no side effects from that type of steroid.
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LondonRed
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Date Joined Oct 2007
Total Posts : 1190
   Posted 8/30/2008 7:03 AM (GMT -6)   
No side effects to the steroid suppository? That means I can have my rectum and piles sorted in one shot?

I think a good dose would be 2x2 Asocol Daily, Plus one nightly Steroid Suppository until symptoms go away totally.

Quicy?

Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)


pb4
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Date Joined Feb 2004
Total Posts : 20577
   Posted 8/30/2008 11:00 AM (GMT -6)   
I responded to your thread over at the CD forum.

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


LondonRed
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Date Joined Oct 2007
Total Posts : 1190
   Posted 8/30/2008 3:35 PM (GMT -6)   
I am getting just blood sometimes without much stool, or some blood before the stool comes out. Is it possible for piles to bleed or pool up blood on their own? Or for me to bleed when I pass a lot of wind? Surely this is inflammation and NOT piles for certain?
 
I often feel like going to the toilet, have the urge, but then nothing comes out except for some blood on the tissue!


Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)

Post Edited (LondonRed) : 8/30/2008 3:54:51 PM (GMT-6)


LondonRed
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Date Joined Oct 2007
Total Posts : 1190
   Posted 8/31/2008 3:45 AM (GMT -6)   
I am updating my GI by email about all this until I meet him in 3 weeks time. He is h appy to go with rectal meds and remained convinced it is my piles. I took some fibre supplememts yesterday and last night and today I don't have much blood but bulkier/softer stool. I did notice some blood on the outside of the stools but none on the tissue and no dripping blood. Which is good news.

I guess with us having D and other bowel problems it's inevitible many of us have hemmies - with blood being a sign of flair - surely thats one of the significant problems we face in determining our health as the difference between hemmies and colonic blood is huge.

How do we get round that? Do we loof for other symptoms like D? Number of BM's? Pain? It's frustrating.

Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)


jujub
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Date Joined Mar 2003
Total Posts : 10407
   Posted 8/31/2008 1:36 PM (GMT 0)   
Just sitting on the toilet as much as we do when flaring can cause hemorrhoids, because it increases the pressure in the veins of that area. And when we have tenesmus, that keeps the pressure on.
Judy - Southern US 
 
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Avascular necrosis in both shoulders is my "forever" gift from Entocort.
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Please remember to consult your health care provider when making health-related decisions.


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1190
   Posted 8/31/2008 7:41 AM (GMT -6)   
Exactly so how do doctors determine rectal blood and hemmies - they look the same!

Diagnosis Oct 07 and then Aug 08: 2 Patches of Mild Chrohn's Colitis (unconfirmed)
Medication: 4000mg Pentasa a day, 5mg Clipper Steroid (Beclometasone dipropionate)

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