Rectal Meds: Quincy?

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Veteran Member

Date Joined Oct 2007
Total Posts : 1198
   Posted 9/25/2008 4:23 PM (GMT -6)   
My GI did a rigid sigmoidoscopy today and says the bleeding is slowing and the inflammation is small. He also did blood work but I won't know the results until tomorrow.
He has changed the drugs too and taken me off Asacol Suppositories - a shame as I was seeing results by taking it night and day.
He now has me on Asacol Foam Enema (it might be called something else in USA) and wants me to take 800mg of Asacol tablets twice a day.
What do you think?

Diagnosis Oct 07 and then Aug 08: Inditerminate Patches of Mild Colitis (including Rectum) - Currently Minor Bleeding
Medication: 1000mg Asacol Enema, 800mg Asacol Tablets x 2 a day.

Post Edited (LondonRed) : 9/25/2008 3:43:06 PM (GMT-6)

Elite Member

Date Joined May 2003
Total Posts : 30999
   Posted 9/26/2008 12:57 PM (GMT -6)   
Sounds like a good plan.....the 5ASA foam enemas aren't available in North America (US or Canada)...sadly...for they would be a less leaky/drippy option.

They're 1000 mg dosage I believe...but distribution would be better than the suppository.

Yes, you need to be on an oral 5ASA ... it's a low dosage for you to start..which is also good. That's what I started at. You can increase if necessary.

Let me know how it goes....

Great to hear things are improving.
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  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 !!!

Veteran Member

Date Joined Oct 2007
Total Posts : 1198
   Posted 9/26/2008 1:48 PM (GMT -6)   
Things aren't improving! I had black stools today so I think I have a recurrance of the duedonal ulcer I had in June which is what caused this flair in the first place by making me get diarrhoea from Omeprazole.

The doctor has prescribed me Ranitidine - the old fashioned Ulcer buster but I guess I will have to have another Gastroscopy!

My meds right now are 1g Asacol Enema, 800mg Asacol x a day and now the Ranitidine. I think all those natural medicine have given me gastric problems - the only thing I have found that really helps is Peppermint and Camomile tea.

WHAT INFURIATES ME is my blood work just came back and they were all clear and normal including a Haemoglobin of 16.5! How can someone ill like me be so healthy in blood? It's good but it's strange, no?

Life sucks right now, lets hope God makes me better.

Diagnosis Oct 07 and then Aug 08: Inditerminate Patches of Mild Colitis (including Rectum) - Currently Minor Bleeding
Medication: 1000mg Asacol Enema, 800mg Asacol Tablets x 2 a day.

Regular Member

Date Joined Aug 2008
Total Posts : 327
   Posted 9/26/2008 3:26 PM (GMT -6)   
Re: the blood work -- good, strange, but not uncommon, so I hear. Sorry you're not improving. Hang in there, LondonRed!
40, female
Dx ulcerative proctitis, 3-5 cm, June 2008 (after 5 weeks of blood and mucous) and still flaring
Canasa 1000 mg suppositories and 2 tsp smooth texture Metamucil nightly
25 mg hydrocortisone suppositories and 1 Garden of Life Primal Defense Ultra in a.m.
Effexor 37.5, Remeron 30 mg, Clonazepam .5 mg (or more) and Trazodone 75 mg for sleep/anxiety
2.5 mg methimazole for thyroid
Trying acupuncture
Osteopenia and other assorted ailments

Veteran Member

Date Joined Mar 2007
Total Posts : 4538
   Posted 9/26/2008 10:46 PM (GMT -6)   
London - I believe my blood work came back normal (or nearly so) when I was at my absolute sickest (25+bloody BMs per day, extremely weak, etc.) I couldn't believe I wasn't anemic from all the blood I had been losing. That is a good thing though that your blood came back okay.
Diagnosed with UC March 2007; Asacol 4 tablets 3x/day; Rowasa nightly; Canasa weekly; Viactiv; Metamucil wafers; multivitamin

Old Hat
Veteran Member

Date Joined Feb 2007
Total Posts : 5191
   Posted 9/28/2008 5:23 PM (GMT -6)   
It's not strange that your blood work came back showing no anemia-- that's good! It means that you managed to replace what essentials you lost thru bleeding. That was also the case with me during a severe UC flare when I was 1st diagnosed by colonoscopy. There were times that I felt weak in the knees, but I kept eating as much as I could tolerate & took vitamins-- managed to improve my condition gradually. Best wishes for you to overcome, too. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.]) P.S. Great that you can get mesalamine rectal foam-- it is still not available in U.S. or Canada!!!! Knitty_Cat has written to HW from Australia that the foam helps a lot.
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