Shake the bottle, have some kleenex at the ready and a bag or waste basket beside your bed so that you don't have to get up afterward.
Lay on your left side (or butt in the air...I've never done that one), both knees crooked in a 7. You may want to add a bit of lubrication (KY or even hydrocortisone cream if you have nothing else, but not vaseline) to the nozzle.
Insert the tip of the nozzle into the anus and push until it's all the way in. . If you have the smooth type of bottle, squeeze until the bottle is squished, then fold over the end (like that of a paper bag) and then fold it over again to get the rest of the med administered.
Squeeze all of the medication in and withdraw the nozzle, cap it, wipe your butt with the kleenex, discard both.
Continue to lay on your left side....and you will probably have the urge to go....this will pass after about
30 seconds...do butt squeezes, grunting, groaning..etc, whatever will help to keep you from running to the bathroom.
If you can keep it in for half an hour and cannot stand the urges if they continue...then that's OK to have a bm.
You'll have to do them nightly for a while...until your flare is over...then taper them to every second night..then eventually every third night..etc.
Hope it's OK...and eventually, you'll work out a system that's more suited for you.
*Heather* Status..Asacol (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite..back to nightly (Jan 22)..tapered too fast
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux); Effexor XR 75mg(depression); Pulmicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate). @ bedtime
~various digestive enzymes as needed; started Omega 3
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!