Enemas

I had this same question awhile back and was told they can reach the splenic feature (where the descending colon and transverse colon meet).

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F, 51
2008 scope dx: acute proctitis
2017 scope dx: chronic UC (rectum & sigmoid)

Currently taking:
Pentasa, Rowasa
Advanced gut health probiotics, Primadophilis Reuteri, Benefiber, Digestive Enzymes
Avoiding sugar, processed foods & raw veggies.

Extras :
Ginger, vitamin C , vitamin D, cal/mag, vitamin K complex,
fish oil, homemade water & milk kefir

Should I stay laying down to use them for a while

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Proctitis
Pentasa 1g Enema
Slippery elm powder

Hi marji.. just came from ed and they done a ct scan which showed inflammation in the defending colon. I've just increased to 2 enemas a day until I see my GI..no mention of recital inflammation which has me confused..my inflammation has only ever been 8cm rectal

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Proctitis
Pentasa 1g Enema
Slippery elm powder

Thanks for your reply and help. I'm not sure why it's spread unless the inflammation isn't from my IBD

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Proctitis
Pentasa 1g Enema
Slippery elm powder

Hey there, ok so this study says that in 7 out of 8 male participants the 1 gram enema did spread to the splenic feature. So it sounds like your inflammation should be covered?

http://onlinelibrary.wiley.com/store/10.1046/j.1365-2036.1997.00193.x/asset/j.1365-2036.1997.00193.x.pdf;jsessionid=FB4AE6A4CF852E343EFC2B6E7B28BBCF.f04t02?v=1&t=j60s7ep3&s=47e1775678cb631070bb6a66d37cb4d18e8a428e

As far as spreading and disease depth goes, I am clueless. Mine has spread, too some.....this may be the nature of the beast. And I guess doing what we're doing with keeping it treated and inflammation as low as possible is a good course of action. That's my personal plan anyway. good luck.

I am currently experiencing a break in symptoms (clinical remission) but still have inflammation, so technically I am still flaring and my enemas and oral meds are treating that.

You're best with a higher dosage of enema such as 4g. But using the 1g twice daily is better than once. Please ask your doc to get you on an oral mesalamine....if your UC is climbing, you need better coverage.

It's not guaranteed it will reach splenic flexure so don't make that a determining factor for your only med. It definitely willmgo past the sigmoid.

Keep in mind there are Pentasa enemas with 100ml liquid and the other mesalamines such as Salofalk, Rowasa and generic that are 60ml liquid. Foam enemas are available in the UK for sure, 1g dosage, and I wouldn't state it reaches the splenic flexure.

Were you completely off the enemas before this?

Feel better soon,
q

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*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression) 
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Genuine Health Advanced Gut Health 15 billion @ bedtime)
~Metamucil capsules 7 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!

I belive red kidney beans caused my flare. I was using the enema at night. Since getting the fluids last night I feel so much better. I will definitely discuss the 4g enema but I they might not be available in Australia. The one I'm using is 100ml

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Proctitis
Pentasa 1g Enema
Slippery elm powder