Hi..welcome to the forum!
It sounds like both tightness and inflammation...have you been using the Entocort enemas nightly since October?
You might have a side effect from the steroid enemas where the anus/rectum is reacting causing more inflammation.
You might consider to ask the doc to put you on a 5ASA enema such as Rowasa or Salofalk if you're not in the US.
You could use KY or other water soluble lubricant to insert the nozzle of the enemas.
Lay on your left side, put the nozzle at the anus and try to relax the sphincter. Put the nozzle in a bit more, relax, etc until it's fully into the rectum.
I believe it says to direct the nozzle to the front of your body...don't have the directions..but that will help it from resting against the back of the rectum wall making it easier to come back out.
Relax while you're administering the med...withdraw, cap the nozzle and just lay there until all sensations have passed.
You could also ask the doc for a prescript
ion of dicyclomine which is an antispasmodic...it could help with relaxing the sphincter a bit if you use it about
an hour before bedtime.
*Heather* Status..Asacol (3 twice daily); flaring since Dec 22, tapered every 2nd nite (Jan 3)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate).... @ bedtime
~various digestive enzymes as needed
~Ranitidine (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 !!!