Increased bleeding with Hydrocortisone enemas

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Regular Member

Date Joined Jul 2009
Total Posts : 118
   Posted 8/11/2009 5:35 AM (GMT -6)   
Was wondering if anyone had a problem with colocort enemas increasing their rectal bleeding? I have had weeks and weeks of Rowasa enemas which could not get me over the hump completely. Now I have tried colocort enemas for about 4 days. At first I was excited because I had a formed movement the first day and very little blood. However, as the days go on it seems my stools are more formed but my bleeding has really picked up.
I do not know if this is coincidence or not. Maybe just due to more formed stool. Anyone else have this kind of problem and did it pass?

New Member

Date Joined Aug 2009
Total Posts : 4
   Posted 8/11/2009 6:27 AM (GMT -6)   
They did not increase my rectal bleeding but I had to be taken off of them because I looked like someone had beaten me I had so many bruises. My legs and arms were covered in bruises the MD did some blood work and my platelets had dropped below normal range. He was afraid I would be in serious trouble if I got into some sort of accident. Call your healthcare provider and tell them of your increased bleeding....steroids rectally or orally are not for everyone.

Hope you feel better soon!
Age 34
Dx Ulcerative Proctitis July 2009
Gastritis March 2009
Gallbladder Removal December 2008
Canasa Suppositories
Calcium with Vitamin D
Zofran as needed
Carafate as needed
Hormone Replacement Therapy (Total Hysterectomy 2006)

Elite Member

Date Joined May 2003
Total Posts : 30984
   Posted 8/11/2009 1:56 PM (GMT -6)   
Are you also on any oral meds?

*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 !!!

Veteran Member

Date Joined Jul 2008
Total Posts : 748
   Posted 8/11/2009 3:01 PM (GMT -6)   
I was given a prescription for Anucort (sp?), which is a suppository, not an enema, but as soon as I used it, things actually got worse. I went from having one formed movement with some slight streaks of blood to going 5-7 times/day with mostly blood.

I went on Canasa (mesalamine suppositories) and it helped immediately, and got things back to normal within a month.

I don't know why that happened, and neither does the GI, but I just seem to be one of those people who has odd side effects from medications.

I hope you can get things under control soon with both the BMs themselves and the bleeding.
34 years old, stay at home mom of 2 girls, ages 4 and 2.5
Diagnosed in 2007
Currently on:
Asacol 6pills/day
Biweekly injections for Humira clinical trial-going well so far!!
Back on Canasa temporarily because I took Biaxin for sinuses and started seeing streaks of blood again.
Also take multivitamins and milk thistle daily.

Regular Member

Date Joined Jul 2009
Total Posts : 118
   Posted 8/11/2009 3:02 PM (GMT -6)   
yes, I am on Colazol 8 a day.

puffed rice
Regular Member

Date Joined Feb 2008
Total Posts : 495
   Posted 8/11/2009 7:51 PM (GMT -6)   
Hello psychocolon, 
Have you tried Vitamin E enemas for the bleeding.  I use hycort enemas or cortifoam usually for my flares and bleeding but I also either add a couple vit E capsules into the full hycort bottle then add more onto the tip before inserting or I have taken the empty hycort bottle and emptied many vit E capsules into it and add warm water then insert and retain all night.  I find the vitamin E stops the bleeding faster and is very healing.  It works.
Diagnosed with Ulcerative Colitis 1995
Salofalk Tablets  2pills -3xday
salofalk suppositories or cortifoam nightly when needed
Bio-K Probiotic (evening) ultimate flora critical care probiotic (morning)
metamucil nightly
cut out all wheat-finally in remission

Veteran Member

Date Joined Jul 2006
Total Posts : 2105
   Posted 8/11/2009 8:08 PM (GMT -6)   
The hydrocortisone enemas I get are horribly made. The tips are ridiculous and 1 out of 6 may be usuable (Not smooth). If the rectum is already inflammed you have to find the smoothe tip and go with it. Use plenty of A&D or some ointment on the thing before even trying to stick it in. Nothing like trying to stick a sharp object into a swollen rear. Makes ya wanna choke whoever manufactures that portion of the bottle.

Puffed Rice is spot on with the vit E recommendation too. I have done that many times!
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

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