Cortenema....HELP!

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JonVT98
New Member


Date Joined Jul 2008
Total Posts : 18
   Posted 8/7/2009 9:16 PM (GMT -6)   
Ok, i think i just wasted an hour of my life.  Has anyone that used the 60 ml Cortenemas had trouble keeping the liquid in the very first time you used them?  i'm pretty flared down there.  If this doesn't work the first time, do I have any hope?  Or...do you eventually get used to it down there.  Well..let me know if you all have any advice.  I'll try again tomorrow.  ugh...

quincy
Elite Member


Date Joined May 2003
Total Posts : 30995
   Posted 8/8/2009 2:56 AM (GMT -6)   
Hi..mever used the cortenema, but the Salofalk is the same amount of fluid.

Were you laying on your left side while inserting and then remaining such afterward for at least a half hour?

Grunting, groaning, squeezing cheeks and your sphincter will help get you through the first minute of urges....afterward it'll get easier as you heal.

Were you able to hold it at all?

Hang tough, I've been doing enemas for 20 years (no, not nightly..lol) and I've had to let 2 or 3 only go because I just couldn't hold for too long.


quincy
*Heather* Status: ...Asacol 3 twice daily; Salofalk enemas every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


JonVT98
New Member


Date Joined Jul 2008
Total Posts : 18
   Posted 8/8/2009 9:58 AM (GMT -6)   
Hi, Thanks for the response. I actually think even though i could not retain a lot of the fluid, that it did some good. I did not wake up with the same urgency to run to the bathroom like I have recently. I've never used these enema things before in my life, so...maybe it just takes some muscle control down there like you said, and i'll learn to retain at least most of it. Wow..not fun though. On the unpleasantness scale...on a 1-10, i'd rate this a 12. Hope it does the job! Thanks again for chiming in.

Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 8/8/2009 10:01 AM (GMT -6)   
If you are very inflammed then it can be tough to retain but don't give up! Even if you can keep it in for at least 30 minutes, it is still doing some good. Be sure to warm the liquid up by running it under warm water or rolling it around in your hand. This can help take some of the cramping and urge away. Also, make sure to squeeze all the air out before inserting.
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Rio in Maryland
Veteran Member


Date Joined Nov 2007
Total Posts : 891
   Posted 8/8/2009 10:04 AM (GMT -6)   
The first 30 seconds after doing an enema always seems the hardest for me, because there's a reflex action to try to expel whatever is in there. As Quincy said, it helps to lie on your left side and stay that way for 20-30 minutes if you can. Keep trying, because it takes a couple of days to get the hang of it and figure out what's comfortable for you, and then it's not bad at all.
Rio, 33 year old male. Diagnosed with UC in 2006
Azathioprine (stopped), 4800 mg Asacol
VSL#3, Metamucil
Vitamin E enema or Canasa/Mesacol suppository occasionally


Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 8/8/2009 11:31 AM (GMT -6)   
Don't use the whole thing. I never have, and still get relief. Use a third at a time and its much easier to keep in. You are also not throwing your money down the toilet.
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


glamourgirl
Regular Member


Date Joined Apr 2008
Total Posts : 460
   Posted 8/8/2009 12:12 PM (GMT -6)   
I lay on my left side for 10-15 minutes before inserting it to make sure I don't have any urgers or gas. There have been times that I can't retain it but I'll try another one immediately after and I can retain the 2nd one. As you heal, it gets easier.
Female, Age 38
Diagnosed w/c.diff 7/02 when pregnant w/1st and only child during 2nd trimester(wasn't on antibiotics)
C.diff flare within weeks of delivering baby 1/03, Diagnosed with UC 2/03
Current Meds:
Lialda, 6MP
Ferrex Forte
Acidophillus, Sacchromyces Boulardii, Oil of Oregano


JonVT98
New Member


Date Joined Jul 2008
Total Posts : 18
   Posted 8/8/2009 1:21 PM (GMT -6)   
Great, thanks for all this advice. I feel better about this. Even with the very small amount i was able to retain, it did help, because i did not wake up with that massive urge to run to the bathroom. And, when i did, i didn't have the straining and discomfort that i often have with a bad flare. To give a little more back ground, i was actually doing pretty well. Last summer, i was so bad that I ended up in the hospital. Over the past year, i have been on remicade, entocort, and 125 mgs of Imuran. Oh, and i was on tapering Prednisone, but eventually came off that and was off that for quite awhile. After my last colonoscopy the end of July, my dr. put me on Canasa because the colon looked a lot better except for inflamation and the end near the rectum. I should have known better on taking canasa, because with my previous dr., I had used the mesalmine type meds and they never worked. And..unfortunately the Canasa made me feel so much worse, that my dr. tried me on the Cortenema things. So, i think i'm having trouble retaining the fluid because i apparently have a bad reaction to mesalmine products, and it made things worse than they already were. Hoping the cortenemas get me back on the right track soon. Thanks for all of your advice, and i will definitely use that advice tonight :)

Rio in Maryland
Veteran Member


Date Joined Nov 2007
Total Posts : 891
   Posted 8/8/2009 1:41 PM (GMT -6)   
Also, I've found that it works better to do this soon after you have had a BM so that you don't have the urge to go just when you're trying to retain the enema.

Hopefully the Cortenema should work better than Canasa for you.
Rio, 33 year old male. Diagnosed with UC in 2006
Azathioprine (stopped), 4800 mg Asacol
VSL#3, Metamucil
Vitamin E enema or Canasa/Mesacol suppository occasionally


JonVT98
New Member


Date Joined Jul 2008
Total Posts : 18
   Posted 8/10/2009 11:29 AM (GMT -6)   
Hey, things have gotten much better..you all were right. One thing though that someone mentioned earlier..is i squeeze the hell out of that bottle, and still always have around a third of it left. Since i'm now able to retain it....i just toss the last third. I'm still getting a pretty good benefit. I may double check with my doctor on this, but...in 3 days that i've used this...the difference is night and day. As unpleasant as it sitll is...i'll gladly take the benifit it provides. Thanks again

quincy
Elite Member


Date Joined May 2003
Total Posts : 30995
   Posted 8/10/2009 1:47 PM (GMT -6)   
Awesome you're able to retain them...

Regarding administering the med....squeeze as much as possible, then fold over the bottom like a brown paper bag and then fold over again. That's how i used to do them before the bottles of my rectal med changed.

q
*Heather* Status: ...Asacol 3 twice daily; Salofalk enemas every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ bedtime
~various digestive enzymes as needed
~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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