How to administer Entocort enema?

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burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 10/3/2008 7:34 PM (GMT -6)   
I am still flaring. I went to see my GI doctor last Tuesday. I mentioned to her about my recent abdominal and rectal cramps, as well as the loose stools. She asked me to use Entocort enema in the morning. And she said I should keep using the Salofalk enema at night.
I started using the Entocort enema yesterday and I found that I had difficulty emptying the contents in the bottle. No matter how long and patiently I squeezed the bottle, there was still 1/3 of solution left. I tried again this morning and it's the same.
I have been using the Salofalk enema all the time and it's much easier to use. Can somebody tell me how I can utilize the Entocort enema without throwing 1/3 of it away?
Ulcerative proctitis diagnosed in July 2006. Medications: Salofalk enema nightly.
Remission from Nov 2006 to Oct 2007. Then a bad cold and a bad flare till the present.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema/suppository, Salofalk tablets 500mg x 3/day, Azathioprine 75 mg. Warfarin for my Deep Vein Thrombosis which resulted from diarrheas and dehydration in Feb 2008.
Supplements: Probiotics, Calcium with Vitamin D, Vitamin B Complex, Vitamin C, psyllium capsule (Metamucil) and bee propolis.


Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 10/3/2008 7:43 PM (GMT -6)   
Get on hands and knees and stick your rear end up in the air. It's all in how you squeeze the last of it out.
Proctitis DX 1999, Pancolitis DX 2008
Lialda 3 day
Immuran
Vitamin E Enemas as needed
Probiotis/GreenTea/VitD+Ca/SuperDHA


mh53mike
Regular Member


Date Joined Aug 2008
Total Posts : 149
   Posted 10/3/2008 8:09 PM (GMT -6)   
just get as much as you can in there dont worry if there is some left over no biggie. If it makes you feel any better save the left overs and combine them and yay another dose. Some people may care i guess if you gotta pay outta pocket, i dont so i just chuck em in the trash.
26y old male medically disharged USAF veteran.Diagnosed with UC (lower proctitis) in 2004.
 
Current daily treatment:                               Probiotics & supplements:
                                         50 Billion CFU's acidopholis&Bifidobacterium daily
2400mg oral asacol                                      Digestive enzymes
15mg prednisone tapering                             5grams of glutamine
75mg azathioprine                                       folic acid & calcuim with V-D
20mg Nexum                                               Whey protien  
 
Diet:Little/no sugars, fats, carbs, caffine,sugars,yeast. Stay natural as possible.  
 
Results:1 Bowel movement in the morning no blood! Remission since 08Sept08


burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 10/3/2008 8:37 PM (GMT -6)   
I squeezed and squeezed until the bottle was perfectly deformed. I thought I had all the solution out but when I looked at the bottle later, there was more that 1/3 remained. I want to utilize the enema because I want to get better soon. It's the 11th month of my recent flare.
I am lucky to have extended medicare. Although it costs more than $8 each here in Canada there is no big deal for me.
Has anyone used the Entocort enema before? How does it work for you?
Ulcerative proctitis diagnosed in July 2006. Medications: Salofalk enema nightly.
Remission from Nov 2006 to Oct 2007. Then a bad cold and a bad flare till the present.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema/suppository, Salofalk tablets 500mg x 3/day, Entocort enema. Warfarin for my Deep Vein Thrombosis which resulted from diarrheas and dehydration in Feb 2008.
Supplements: Probiotics, Calcium with Vitamin D, Vitamin B Complex, Vitamin C, psyllium capsule (Metamucil) and bee propolis.


Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 10/3/2008 9:35 PM (GMT -6)   
Have been using them on and off for 9 years. If you do what I said you won't have any left..... but they are a little more viscous than the other stuff so you just need to be patient. Warm the solution up a little too. Downward facing dog, except on your knees face on floor, stick the tube in your rectum, wait for the solution to get to bottom, then squeeze till you get air.... wait few seconds and squeeze again. You do it enough and you will learn the best way. I had to pay for this stuff for many years so I learned not to waste a drop of it. It's like squeezing the last bit of toothpaste out. If I didn't feel like bothering with it I would just take the next bottle I was going to use, take both tops off, and sit the one with a little solution on top of the new one facing each other so it would drain in and let it sit.
Proctitis DX 1999, Pancolitis DX 2008
Lialda 3 day
Immuran
Vitamin E Enemas as needed
Probiotis/GreenTea/VitD+Ca/SuperDHA

Post Edited (Dr-A) : 10/3/2008 9:40:05 PM (GMT-6)


burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 10/3/2008 10:01 PM (GMT -6)   
Thank you Dr-A. I'll try again and see.
Ulcerative proctitis diagnosed in July 2006. Medications: Salofalk enema nightly.
Remission from Nov 2006 to Oct 2007. Then a bad cold and a bad flare till the present.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema/suppository, Salofalk tablets 500mg x 3/day, Entocort enema. Warfarin for my Deep Vein Thrombosis which resulted from diarrheas and dehydration in Feb 2008.
Supplements: Probiotics, Calcium with Vitamin D, Vitamin B Complex, Vitamin C, psyllium capsule (Metamucil) and bee propolis.


quincy
Elite Member


Date Joined May 2003
Total Posts : 30614
   Posted 10/4/2008 12:30 AM (GMT -6)   
If it's a smooth bottle compared to he accordian shaped ones of the Salofalk...squeeze until it's crumpled, then fold the bottom upward and over like you would a paper bag. Then fold it again...that should get out all the rest of the med.

Hope this helps.

q
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~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 !!!
 


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5965
   Posted 10/4/2008 6:51 AM (GMT -6)   
     I do as Doc says, sometimes I still get a little left in the bottle.  If I have any left, I save it for the next bottle I can't seem to empty.  Too wasteful to throw it out.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Still flaring.   Afraid that I am pred dependant.  Back on Pred 40 mgm for five days, then taper.  Other meds...Colazal, 6MP, Nexium, Cort enemas, Canasa suppository, Benicar, Toprol xl, water pill.
Calcium, Probiotic, Flaxseed oil capsule, multivitamin with Iron
Also have osteoporosis and high blood pressure
Remicade NOT an option. Not a candidate for surgery yet..says surgeon.


burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 10/6/2008 12:29 PM (GMT -6)   
Hey! I was asking you how to administer the enema 3 days ago and now I can tell you that I'm feeling much better!
After using it for 4 days, I had my first BM with formed stools and no blood since I was off Prednisone (in June) yesterday. And the sudden abdominal and rectal clamps disappeared as well. I waited till today to post this because I wanted to see what happens this morning.
There were 2 BMs with formed stools this morning. No more loose stools, blood or cramps.
Oh, my doctor should have switched me to Entocort earlier. I have been using Salofalk for so long and I still had symptoms.
Ulcerative proctitis diagnosed in July 2006. Medications: Salofalk enema nightly.
Remission from Nov 2006 to Oct 2007. Then a bad cold and a bad flare till the present.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema/suppository, Salofalk tablets 500mg x 3/day, Entocort enema. Warfarin for my Deep Vein Thrombosis which resulted from diarrheas and dehydration in Feb 2008.
Supplements: Probiotics, Calcium with Vitamin D, Vitamin B Complex, Vitamin C, psyllium capsule (Metamucil) and bee propolis.

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