cort enema questions

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Veteran Member

Date Joined Jul 2008
Total Posts : 823
   Posted 7/30/2009 10:01 AM (GMT -6)   

Hi - I am starting to have a flare and will begin cort enemas tonight.  The last time I tried them I was in such a terrible flare that they did not help at all.  I am catching flares earlier now and learning to be more aggressive with seeking additional treatments when needed. 


For those who have success with the cort enemas - how long does it generally take to see improvements and how long do you stay on them???



Dx 2006 right after the birth of my daughter
Lialda 3 pills a day!
Canasa daily
Probiotics Daily

Veteran Member

Date Joined Jul 2006
Total Posts : 2105
   Posted 7/30/2009 10:25 AM (GMT -6)   
Generally the following morning. Stay on them as long as you need to, and sometimes even when you don't feel like you need to, lol.
Proctitis DX 1999, Pancolitis DX 2008
Golimumab study (100mg every 4 weeks)
L-Glutamine 5000 mg + 600 mg pyridoxal alpha-ketoglutarate
Probiotis/VitD3 5000IU+Ca/1000mg DHA

Regular Member

Date Joined Oct 2007
Total Posts : 486
   Posted 7/30/2009 11:21 AM (GMT -6)   
If you're bleeding, the cort enemas can usually stop it in a day or two. (Although I wouldn't panic if it didn't.) The trick is not to stop too soon or to switch to cortifoam rather than stopping.
UC for the last ten years
Current Meds: 6MP since 2006, Lialda, Asacol foam, Lomotil
Past Meds: You name it; I've tried it. (Asacol, Colazol, Pentasa, DiPentum, Rowasa, Canasa, Cortenema, sulfasalazine, Cortifoam)
Alternative treatments I have had success with: Acupuncture, Hypnotherapy

Elite Member

Date Joined Apr 2004
Total Posts : 23551
   Posted 7/30/2009 12:17 PM (GMT -6)   
Another important thing with Cortenemas is to TAPER. This is a steroid medication and should be tapered to reduce the chances of rebound symptoms.
Usually someone remains on them anywhere from 4 weeks to 8 weeks, depending on your symptoms.

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Regular Member

Date Joined Jul 2009
Total Posts : 21
   Posted 7/30/2009 12:25 PM (GMT -6)   
I just stopped my cort enemas after about 12 days of use (and seeing very little result).  After my second colonoscopy last Friday, they began giving me bad left-sided cramps every time I used them.  Told the doc I wouldnt do that anymore!
DX: UC (Proctitis) January 2009 (age 24)
Status: Currently in flare since Aug 2008 without remission
Medications: Align (probiotic), Cortisone Enema, Lialda, Prednisone (tapering), Flagyl, Cipro, Canasa, anticipating Dipentum after round of Prednisone,

Veteran Member

Date Joined Jul 2008
Total Posts : 823
   Posted 7/30/2009 3:47 PM (GMT -6)   
Thanks so much for the feedback everyone...I really hope that it works this time...the last time I tried them they did not work but I was in a BAD flare...I am just in the early stages right now so I am hoping to have better results. Last time I thought it actually made things worse but I was so sick it is hard to say. My doctor basically told me to use one a night for two weeks then taper down but he gave me a prescription for more than would be needed and told me that I could take use them every day for longer than two weeks if needed...
Dx 2006 right after the birth of my daughter
Lialda 3 pills a day!
Canasa daily
Probiotics Daily

Veteran Member

Date Joined Aug 2008
Total Posts : 5975
   Posted 7/30/2009 4:53 PM (GMT -6)   
     I've been in a flare since the end of May but started the prednisone and Cort enemas around the same time...June 11th.  I have ulcerative proctitis and it is very stubborn.  I can still feel the inflammation right at the end of my rectum.  The bleeding stopped awhile ago and I don't have diarrhea....the bowel movement is once a day and normal.  I believe the longest I have been on Cort enemas is something like three months.  Doctor never told me to taper them....just taper the oral prednisone.  Right now I am down to 25 mgm and tapering 5 mgm per week (from 40 mgm), 100 mgm of 6MP, nine capsules of Colazal, Cort enemas nightly and Canasa suppository in the morning.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Meds as of June 09: Colazal (6 per day), 6MP (50 mgm), Probiotic (upped to 3 per day), Fish oil capsule, calcium, multivitamin, Cort enema nightly, Canasa in morning.  Also taking Benicar and Toprol to control high blood pressure.  Getting old is a b****.

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