Enemas - What to Do vs What Not to Do

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BigApple
Regular Member


Date Joined Dec 2008
Total Posts : 20
   Posted 1/27/2009 3:51 PM (GMT -6)   

My GI has prescribed Cortenema, once a day for twelve days. I've never had/used an enema. Can any experienced veterans explain the does and don't of an enema. To make things worse, I live with my fiancé in a 500 sqft studio apartment. Is this a two man job?


Ulcerative Pan Colitis since March 2008
 
Meds:
Balsalazide 3 750MGROX - 3 x per day      
Prednesone 2 occasions (hated it)
 
Probiotic:
VLS#3 1 pack 3 x per day
 
I recently bought a new toilet seat :)
 


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23551
   Posted 1/27/2009 5:32 PM (GMT -6)   
I've never had any trouble with them so you should be able to do them yourself. A good tip is to warm the bottle before inserting. This will help keep any cramping down. You can roll the bottle around in your hand to warm it up a bit. Also, squeeze the air out before inserting. Cramping is usually the worse but if you have any, try to hold it as long as you can. After administering the med, lay on your left side for at least 30 minutes - preferably all night.
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kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 1/27/2009 5:46 PM (GMT -6)   
Red about said it all.  If you have cramping during that 30 minutes just squeeze and bear it and it will subside and you can sleep all night.
I am using the generic version now 10 days.  Please let us know how it works for you.  I am not doing well - symptoms got worse so I stopped one night and now two in a row - still have problems - continuing unless it gets worse in a couple days again.
 
ElaineNY (fellow NYer but central NY here)
68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only 2 cm. left to heal in rectum - going to try Proctofoam first.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
January 9 - doctor changed me from Protofoam to hydrocortisone enemas for two weeks - wish me luck.
 
 
 
 
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 1/27/2009 5:48 PM (GMT -6)   
By the way, do you not take a Probiotic anymore?

68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only 2 cm. left to heal in rectum - going to try Proctofoam first.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
January 9 - doctor changed me from Protofoam to hydrocortisone enemas for two weeks - wish me luck.
 
 
 
 
 


BigApple
Regular Member


Date Joined Dec 2008
Total Posts : 20
   Posted 1/27/2009 7:57 PM (GMT -6)   
Thanks for the tips. Tonight will be my first attempt. I'll cross my figures and legs. :)

Kop: I stopped the VLS six months ago because my insurance wouldn't cover it any more and I refused to pay the big $$$$ for it. I'm taking over the counter Acidophilus, but it is hard to tell if it helps.
Ulcerative Pan Colitis since March 2008
 
Meds:
Balsalazide 3 750MGROX - 3 x per day      
Prednesone 2 occasions (hated it)
 
Probiotic:
VLS#3 1 pack 3 x per day
 
I recently bought a new toilet seat :)
 


RyanF
Regular Member


Date Joined Jan 2006
Total Posts : 358
   Posted 1/27/2009 9:48 PM (GMT -6)   
I'll warm mine in the sink in warm water. Also, like Red said-- squeeze the air out. A cold enema is one thing, but the air really hurts me. These enemas are the only things that have ever helped me. So as weird as it may sound-- I'm a huge fan. ha!

Once you use them a few times you'll find what works for you.

Oh and huge "dont"-- make sure you use the right end. ;o) Both you and the bottle.
Ryan


Meds:

Began Humira on 10 Jan 2009

Second injection: two pens on 24 Jan 2009


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 1/28/2009 9:01 AM (GMT -6)   

I really can't afford those expensive probiotics either but get a lot of help for forming stools from Align which you can get in pharmacy for about $38 a month.

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only 2 cm. left to heal in rectum - going to try Proctofoam first.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
January 9 - doctor changed me from Protofoam to hydrocortisone enemas for two weeks - wish me luck.
 
 
 
 
 


BigApple
Regular Member


Date Joined Dec 2008
Total Posts : 20
   Posted 1/28/2009 1:03 PM (GMT -6)   
What a night!

So I made my fiancé go into the bathroom (we live in a studio apartment) while I played with the enema. It was a little embarrassing and I wasn't going to let her watch, plus I have bronchitis and I was coughing so hard I thought I might push the enema out.

Well it was a little difficult inserting the tube the full length and I had a little leakage, but when I took a slow deep breath it helped with getting the tube all the way in. I'm glad I had a towel under me :( . I didn't have any cramping and after 30 minutes I was able to lie on my back and fall asleep. I made it the whole night with it in. I think that practice makes perfect and tonight should go a little easier.

I'm guessing that it will take a week or so to see any changes.
Ulcerative Pan Colitis since March 2008
 
Meds:
Balsalazide 3 750MGROX - 3 x per day      
Prednesone 2 occasions (hated it)
 
Probiotic:
VLS#3 1 pack 3 x per day
 
I recently bought a new toilet seat :)
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 1/28/2009 1:47 PM (GMT -6)   

Sounds like you did ok! I can only get about 2/3 in because of the fact that I do it on the toilet.  So, maybe that is why I have not had good results!  I used it 8 days , one day off because I felt so bad and now four nights again.  It is is working for me yet!  I will call doctor after a few more nights if no better.

By the way, I used extra lubrication on tube - helps!

Good luck!


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only 2 cm. left to heal in rectum - going to try Proctofoam first.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
January 9 - doctor changed me from Protofoam to hydrocortisone enemas for two weeks - wish me luck.
 
 
 
 
 


Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 1/28/2009 3:58 PM (GMT -6)   
I just do mine in the bathroom too. It takes the anxiety out of being in bed and wondering if you could make it or not with the next pain to release it. Typically give myself 30 min or so.
Proctitis DX 1999, Pancolitis DX 2008
Lialda 1 day
Immuran
Golimumab study
Vitamin E Enemas as needed
Probiotis/GreenTea/VitD+Ca/SuperDHA


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 1/28/2009 4:58 PM (GMT -6)   
I admit, sometimes I do mine on the toilet, too. It's just more likely I'll do it that way, if hubby has already gone to bed. Then I run into bed and plop down on my left side. Hubby laughs. I haven't noticed that it works less well, but I can hold them in pretty good!

BTW, Congrats on the success. Yes, be careful because the liquid can stain. And get the air out first, absolutely! Then when you think you have all the medicine in, just leave the bottle in a moment and let your b-hole relax and it will slip out almost on it's own. Less trauma.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Replete$$ probiotic powder, then Forte, now a stronger one (50 billion). Doing much better, but still having some bad days. 

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