Salofalk enemas...what a chore!

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ZLSJ
Regular Member


Date Joined Dec 2008
Total Posts : 263
   Posted 2/26/2009 9:38 AM (GMT -6)   
Just started these last night and boy do I appreciate how easy the Cortifoam ones are to apply. No mess, no fuss with the Cortifoam in comparison to this, though I'm sure I'll get better at it
 
What is the secret to squeezing the darn bottle and getting every last ounce of goodness out of it??

Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23551
   Posted 2/26/2009 12:26 PM (GMT -6)   
I find it's impossible to get every last drop out. In fact, I would still have about an 1/8 left in the bottle but the medicine I did receive was enough to work. Just try to get out as much as possible but you don't need every little bit.
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fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 2/26/2009 12:30 PM (GMT -6)   
As the bottle gets empty, I kind of fold/crush it from the bottom...kind of like you do with a tube of toothpaste as it gets empty. It gets a lot more out than just squeezing the sides.
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa nightly, Culturelle probiotic, and Zoloft (25 mg).


Mamas Boys
Veteran Member


Date Joined Oct 2005
Total Posts : 1460
   Posted 2/26/2009 12:52 PM (GMT -6)   
Also - warming the bottle helps cuz it makes the plastic easier to squeeze.  (And also the warm liquid is not as much a shock to the system and easier to retain.)

Mamas Boys
Colazal, Azathioprine, Remicade
Culturelle, MultiVitamin, Folic Acid, Viactiv
Status: Remission!!


ZLSJ
Regular Member


Date Joined Dec 2008
Total Posts : 263
   Posted 2/26/2009 1:06 PM (GMT -6)   

Thanks for the pointers all...I needed some tips because it took so long and was so messy last night.

As far as warming, I guess that would be accomplished by leaving the bottle sit in a cup of warm water for a few minutes?


Mamas Boys
Veteran Member


Date Joined Oct 2005
Total Posts : 1460
   Posted 2/26/2009 1:51 PM (GMT -6)   
some people do that.  I just roll it between my hands for a few minutes.

Mamas Boys
Colazal, Azathioprine, Remicade
Culturelle, MultiVitamin, Folic Acid, Viactiv
Status: Remission!!


quincy
Elite Member


Date Joined May 2003
Total Posts : 30614
   Posted 2/26/2009 2:02 PM (GMT -6)   
The accordian type bottle has a "plug" of something in the nozzle...that's why it's difficult to get it squirted initially.

The shaking will also emulsify it...making it a thicker substance to get out.

No need to fold the bottle, since it's an accordian shape...just compress it.

I hope you're laying on your left side to do it..and not sitting up?

What I did was to put a kleenex on top of the nozzle and squeeze (from the bottom up) very slowly until i could see the plug coming out. I then kind of mush it around for lubrication, then insert it a bit into the anus. Squeeze a teeny bit until some comes out, then continue squeezing while pushing it completely in and finish squeezing the rest of the med in.

Remember, it's a collapsing motion from the bottom up, and you can only squeeze it till it's fully collapsed.

On occasion, however, I've asked my husband to shake it for me....that was like getting dough out, so the process was a tad more difficult.

So, maybe don't shake it for so long or so hard?

You'll get the hang of it.

Oh, were you able to retain it all night?

Welcome to the Salofalk club!

quincy
*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/supplementsProbiotics....(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 !!!
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/26/2009 3:16 PM (GMT -6)   

quincy - what a veteran!!  AND - what a husband.  Mine disappears! 

Anyway, when I was using the enemas - never had an accordian type bottle - just round.  I did squeeze out the PLUG in a kleenex.  I HAD to do it sitting on the toilet and my NP told me if I could get 2/3 in and KEEP it in all night - that was ok.  Of course, maybe that is why it did not work as well for me as far as healing.  I had not other choice.  Foam is a lot easier and suppositories are my favorite.  Still asking doc about a suppository to "help" down - I agree "from both ends" is good.

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008
Tried all mesalamines and enemas, Canasa, etc.  Colonoscopy 10/28 showed only few cm. left to heal -hydrocortisone enemas 12 days - much worse. Cannot tolerate mesalamine!
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 Feb. 21 - down to 20 mg. - no blood, no pain, no bad side effects so far. Starting 6-MP Feb. 28 along with 20 mg. prednisone.
Probiotic Align, Prilosec for GERD
 
 
 


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 2/26/2009 3:30 PM (GMT -6)   
I also don't have an accordian type bottle...mine was just round like Elaine's. And there's no plug that I can tell, either.
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa nightly, Culturelle probiotic, and Zoloft (25 mg).


quincy
Elite Member


Date Joined May 2003
Total Posts : 30614
   Posted 2/26/2009 3:55 PM (GMT -6)   
I guess depends on the manufacturer.....Salofalk used to be like the Rowasa...easy to squeeze bottle (unless my husband shook it, that is..lol!)

Yep, he's a trooper...had to insert it for me the very first time...after that, I did it. weird, and the cat (Quincy)enjoyed the sound of it being squeezed and used to peer over the blankets...I was the centre of attention.
My "now" cat used to attack my hand as I withdrew it...attacked from the floor up to my butt..sheesh.

Now, she just watches..haha.
 
 
Forgot to add that once I didn't have a kleenex over the nozzle when squeezing out the plug and some of it went shooting against my husband's back. Woke him up with a scream....interesting I had it pointing in that direction and not towards my face, thankfully..
He now covers himself completely (head and all) if he's awake when I'm doing the enema.  Oh, what fun it's become..

q


*Heather* Status..Asacol  (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(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 !!!
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/26/2009 4:19 PM (GMT -6)   

I do have to say my husband would do ANYTHING for me if I ask, etc.  BUT he would rather hide!!  You have a good one there quincy!  I can't do it in bed (as I think you all know by now) since I can't reach due to obesity and arthritis.  The toilet is the only choice I have and that is difficult.

I so prefer the suppositories if they would only work better.

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008
Tried all mesalamines and enemas, Canasa, etc.  Colonoscopy 10/28 showed only few cm. left to heal -hydrocortisone enemas 12 days - much worse. Cannot tolerate mesalamine!
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 Feb. 21 - down to 20 mg. - no blood, no pain, no bad side effects so far. Starting 6-MP Feb. 28 along with 20 mg. prednisone.
Probiotic Align, Prilosec for GERD
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30614
   Posted 2/26/2009 4:27 PM (GMT -6)   
Elaine....yep, I'll keep my husband for a few more years yet..lol!

Remember, you can stack the suppositories...one, then insert another. Would reach higher. Something to consider.
q
*Heather* Status..Asacol  (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(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 !!!
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/26/2009 4:34 PM (GMT -6)   

What a wonderful idea - boy you are full of them hee hee!  Thanks so much!  I truly appreciate you - everyone and this forum!!!  If nothing else - I need LESS Xanax when I can come here and "calm" down!!

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008
Tried all mesalamines and enemas, Canasa, etc.  Colonoscopy 10/28 showed only few cm. left to heal -hydrocortisone enemas 12 days - much worse. Cannot tolerate mesalamine!
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 Feb. 21 - down to 20 mg. - no blood, no pain, no bad side effects so far. Starting 6-MP Feb. 28 along with 20 mg. prednisone.
Probiotic Align, Prilosec for GERD
 
 
 


burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 2/26/2009 7:28 PM (GMT -6)   
In my recent flare I notice that Salofalk enema is not so well-tolerated than before. I have to warm it up, squeeze the bottle at the toilet to get some air and the 'plug' out and wipe it off with kleenex before I use it.

When I first used it in 2006 I didn't have any problem. I just used right from the bottle. Perhaps my colitis is more serious now.
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 for 1 year till Nov 2008.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema, Salofalk tablets 1000mg x 2/day, Entocort enema (tapering).
Supplements: Calcium with Vitamin D, Vitamin B Complex, Vitamin C, psyllium capsule (Metamucil) and bee propolis.


ZLSJ
Regular Member


Date Joined Dec 2008
Total Posts : 263
   Posted 2/27/2009 6:59 AM (GMT -6)   
Little easier last night with the warmer bottle. I was a bit more careful and didn't make much of a mess. I tried most everyones tips and it sure helpe, so thanks!

I've yet to retain it all night, about 4-5 hours or so is tops...then I'm awake for the day, Not getting any sleep either!

quincy
Elite Member


Date Joined May 2003
Total Posts : 30614
   Posted 2/27/2009 3:47 PM (GMT -6)   
Wow....4 - 5 hours is AWESOME!!
Is the no sleep because of anxiety?

q
*Heather* Status..Asacol  (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(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 !!!
 


ZLSJ
Regular Member


Date Joined Dec 2008
Total Posts : 263
   Posted 2/27/2009 6:35 PM (GMT -6)   

Yeh I thought that is probably adequate, ideally I guess it would be longer than 4-5.

But man, going to the bathroom after that is like setting off a bomb...it's pretty explosive.

Seems like about all I've been sleeping lately...anxiety, insomnia, etc. Not sure the exact reason.


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/27/2009 7:21 PM (GMT -6)   

You know the time you keep it in will get longer as you heal and it is more comfortable.  At least that is what happened with me.  I used Rowasa, hydrocortisone enemas and foam.  I never had to expell anything before morning - maybe 10 hours - BUT, I could only get about 2/3 in because of position, etc. I had to do on toilet.  Doc said it still should help heal, etc.  If you continue to have problems keeping it in - ask about using 1/2 for a while.

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008
Tried all mesalamines and enemas, Canasa, etc.  Colonoscopy 10/28 showed only few cm. left to heal -hydrocortisone enemas 12 days - much worse. Cannot tolerate mesalamine!
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 Feb. 21 - down to 20 mg. - no blood, no pain, no bad side effects so far. Starting 6-MP Feb. 28 along with 20 mg. prednisone.
Probiotic Align, Prilosec for GERD
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30614
   Posted 2/28/2009 12:06 AM (GMT -6)   
Yep....explosive! LOL! Nothing is kept secret when using them...haha.

You're doing fine on them .... hope it continues.

How many days left till the appointment? counting......


Hope you have a better weekend.

Oh...don't you dare skip any!

q
*Heather* Status..Asacol  (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(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 !!!
 

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