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LMegs13
New Member
Joined : May 2010
Posts : 8
Posted 5/1/2010 1:19 PM (GMT -7)
Hi All!

My name is Meghan and I was diagnosed with UC (in my entire colon) January of 2010. I have been flared up since October. I am a newlywed and full-time graduate student.

I am sick for quite a while every morning, which is an interesting start to the day.

My doc originally put me on Asacol 800 mg /6 per day and it made everything worse. Has anyone else had that reaction to Asacol? Then the doc put me on 20mg of prednisone a day and I have been tapering off for the past month or so. I am down to 5mg a day and everything is getting worse. What do I do? The doc wants to put me back on Asacol, but it made me so sick. He says it is not the asacol, but trust me.. it is!

So, I am currently trying the herbal route. I started aloe vera gel last week and slippery elm yesterday evening. Thoughts?

I have been reading the blog, and it feels great to know I am not alone. Thanks all!

Megs
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LMegs13
New Member
Joined : May 2010
Posts : 8
Posted 5/1/2010 1:45 PM (GMT -7)
Thanks JayBee.

I need to go back up on the prednisone, but I don't like putting steroids in my body. I have lost right at 12 pounds, and I am a runner, so I just lack energy!!!! My body responded well to the 20 mg/day of prednisone, but I am scared of the long-term side effects. However, I have a lot of blood in my stool right now, so I am not sure what is worse for the body.

It is tricky with the doc because I am a student. I can't just go to another doctor without a referral. It is weird, but I am kind of stuck with what I got.

Thanks for the support
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IBDISTHEPITS
Regular Member
Joined : Dec 2009
Posts : 357
Posted 5/1/2010 2:26 PM (GMT -7)
It sounds like you need to go up on the Prednisone again and really get the bleeding and inflammation calmed down and at the same time start another maintenance Medication

to take over once you are off the Prednisone.

If your Dr does not listen to you that the Asacol is making things worse you have to either find a new Dr or suggest a new medication.

Some people are intolerant to Mesalamines or to certain mesalamines and you may be one of them.

My daughter tried 3 different mesalamines and was intolerant to all of them.

They made her symptoms much worse- it was very obvious.

Good Luck and keep researching. Again, as much as we all hate Prednisone is does help

get the inflammation calmed down and the ability to get on another drup so you hoppefully never have to take it again turn

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fruitgirl
Veteran Member
Joined : Feb 2009
Posts : 7150
Posted 5/1/2010 3:35 PM (GMT -7)
Welcome to healing well!

There are several people who can't tolerate mesalamine. But, it might be worth another shot, but that's for you to decide. If you do decide to give mesalamine another shot, I'd try a different form, like Apriso or Lialda instead of Asacol, because it could have been an inactive ingredient that bothered you.

I personally don't the herbal route is enough to control UC, particularly if it affects the entire colon. You might want to do some research about the different maintenance medication options. Most GIs recommend Imuran/6MP next, but some prefer to skip to Remicade.
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Christine1946
Veteran Member
Joined : Aug 2008
Posts : 5982
Posted 5/1/2010 3:52 PM (GMT -7)
     What is your prednisone taper?  When I taper at 10 mgm per week, I start to flare when I reach the 10 mgm level and then have to boost the prednisone back to 40 mgm.  I was tapering 5 mgm per week, got down to 10 mgm on Wednesday and noticed blood and urgency yesterday.  Went up to 12.5 mgm today and see if a slower taper will work.  Another thing, make sure you take extra Calcium with D while on prednisone.  No doctor ever told me this when I was diagnosed back in 98 and I now have full blown osteoporosis. 
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LMegs13
New Member
Joined : May 2010
Posts : 8
Posted 5/2/2010 6:21 AM (GMT -7)
I started at 20mg per day and reduced by 5mg every 2 weeks. I was doing okay on this taper, and then the doc re-introduced Asacol to the system and everything went crazy again. I have not gotten it back under control since.

Thank you for the heads up on the Calcium and D. I have been taking both, as I read about the terrible side effects of pred.
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songlady
Veteran Member
Joined : Aug 2009
Posts : 3807
Posted 5/2/2010 6:36 AM (GMT -7)
Hi Megs...
You haven't tried any probiotics yet? They might help a lot. I just responded in the current probiotic research thread - but my son's GI has several incredible success stories involving probiotics. I've used Ultimate Flora Critical Care and VSL (now the Double Strength one - covered by prescription insurance - ) with great success, and my son is having good success with Align.

Slippery elm has helped me some, too.

I would think at some point, once your whole gut starts to calm down a little again, you might ask about rectal meds - even the steroid ones, if you might be sensitive to mesalamines. Even when my inflammation has been widespead, rectal meds have calmed down the bottom of the system for me and have made me more comfortable.

Yes, the prednisone is a strong med with potentially horrible side effects - but sometimes the inflammation of this is so bad that it's the better option. As long as you can get off it before too long, you'll likely dodge the long-term bad things.

I'll remember your name - I'm Meg, too, although with me it's short for Margaret. :-)
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jo1972uk
Regular Member
Joined : May 2010
Posts : 74
Posted 5/2/2010 6:42 AM (GMT -7)
hi i also started using aloe vera juice and slippery elm capsules,, but a day later i started feeling wierd as if drunkish,, and had to go to bed for the rest of the day,, maybe they just didnt agree with me,, but i stopped taking them when this happened,, not everyone is same tho so hope they work for you,, let us know how u get on with them ? x jo
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EmmaDog
Regular Member
Joined : Mar 2010
Posts : 31
Posted 5/2/2010 8:31 AM (GMT -7)
Megs~
I too was diagnosed in January 2010. My doctor had me tapper off the prednisone and as soon as I got down around 10mg the blood started to come back. When I had my follow up he put me back on a higher dose of the prednisone again. I have the same feelings as you...I do not want to be on this drug! I did not have a good feeling with my GI doctor as he did not listen to my concerns at all. That is when I went and got referred to a different GI doctor. My new GI doctor put me on a steroid called Entecort. It only targets the colon instead of the whole body like the prednisone does. I just got off my last dose of prednisone last week so we will see how it goes. Maybe see if your doctor thinks the Entecort would work for you. Still a steroid but a little less evasive to the whole body. And if you are not comfortable with your current doctor than I would suggest you switch. Unless they find a cure you will have your UC for life(hopefully in remission of course) and you want to be able to have a doctor that you feel comfortable with. As for the herbal route. Have you checked into VSL? I have heard some people using it and it works for them. My doctor told me it works for some and not for others.
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LMegs13
New Member
Joined : May 2010
Posts : 8
Posted 5/2/2010 5:40 PM (GMT -7)
Hey guys! You all are the BEST!!! I have tried Kefir (probiotic), but it made everything worse. I have thought about trying the VSL, as I have read of so many on the blog taking it. Thanks Meg for the info on the other probiotic as well! I am willing to try anything!

Jo, I have not felt drunkish yet on the aloe or slippery elm, but I am not feeling better yet.... but not worse. :)

Emma, thank you for the info on the Entecort, I will definitely bring that up to the doc this next go round.

So, we shall see.... thanks again for all the words of wisdom guys! I am going to stick with the present slippery elm and aloe for the next week and see if the bleeding stops. If not, I will call the doc again.
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