White patches on stool while taking mesalamine enema, is this normaling?

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Regular Member

Date Joined Mar 2009
Total Posts : 54
   Posted 8/15/2009 10:46 AM (GMT -6)   
I was taking Canasa before, ocassionally I can see white patches (quater size, several patches) on my stool.
But that's only happy on first 1/4 of my stool. I assume stool from sigmoid was not affected.
My GI said that should be solid mucus. Sounds reasonable.
5 days ago, I switched Canasa to mesalamine enema (4g/60mL).
It works fine in the first 2 days, while from the 3rd day, I found more and more white patches on my stool,
the white stuff is a lot more than that when I was taking Canasa, and even all the stool have white stuff.
Do anyone of you have the same experience? I am wondering it is mucus or just from enema?
Except this, no blood no urgency, looks fine.
Thank you.
Dx Ulcerative protitis Oct. 08 by colonoscopy
Main problem is rectum bleeding......
Canasa 1000mg / night immediately
Jan. 09, Asacol  3X2pill / day, off Canasa...... Began to bleed a week later
Back to Canasa 1000mg/night
Seems in remission now......
Thinking about taking some probiotic.......

Elite Member

Date Joined Apr 2004
Total Posts : 23551
   Posted 8/15/2009 11:09 AM (GMT -6)   
Yep it can definately be from the enemas. With the enemas you can literally have a rainbow of colors.
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate ALL mesalamines**~Allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis~bulging and herniated discs C5/C6 & C6/C7~Epidural injections (2 series of 3), OA-Celebrex, Tylonel Arthritis and Voltaren Gel
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Veteran Member

Date Joined Aug 2009
Total Posts : 3698
   Posted 8/15/2009 11:16 AM (GMT -6)   
Yeah, I've had that from the enemas, too.
Asacol - 16 pills a day
Metamucil - 2 doses
VSL#3, Ultimate Flora Critical Care
Cortenemas (not for much longer I hope!)

Veteran Member

Date Joined Aug 2008
Total Posts : 5975
   Posted 8/15/2009 11:55 AM (GMT -6)   
     Yes, I have that too after my Cort enemas.  I do the Cort enemas in the evening, but I have a hard time holding them in, and the Canasa in the morning.  Usually, my first bowel movement after the Canasa has the white patches on it but I know it is from the Canasa.  If I have a second or third bowel movement, they look normal.  At the moment I am tapering prednisone.
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****.

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 8/15/2009 1:49 PM (GMT -6)   
I get them too and I don't even take any oral RX so it's likely just mucus in/on your stool, but if you're concerned you should definitely talk to your doc.

My bum is broken....there's a big crack down the middle of it! LOL :)

Elite Member

Date Joined May 2003
Total Posts : 31004
   Posted 8/15/2009 2:00 PM (GMT -6)   
Sounds like the norm to me....you need to be on them nightly for at least 2 weeks.

Try not to micromanage too much....the med will reach into the sigmoid and maybe a bit beyond depending on the shape of one's inards..lol...

Even if you do have mucus, it's no biggie...makes sense that while healing and having formed stool, the colon will produce more to avoid injury.

As well...you may have IBS....

Continue to feel well...and remember that you have to taper the enemas to every second night for a few weeks, then every third...etc.

It's been written (lol) that enemas twice a week do help maintain remission...that could be every 3rd night, every 4th night, or the 3rd night and then the 4th..some have done it just on the weekends and not during the week.

Eventually you'll figure it out.

*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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