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Canasa Suppositories side effects?

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Ulcerative Colitis
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Canasa Suppositories side effects?  
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blossom829
New Member
Joined : Jan 2017
Posts : 10
Posted 2/6/2019 3:33 PM (GMT -7)
Hello everyone!! Hope everyone’s having a great week so far.

I’m back seeking some advice. I’ve been on Canasa (mesalmine) suppositories for a little over 2 months now. They stopped my bleeding and mucus, and have firmed up my stools which is amazing.

What is bothering me now is (what I believe) to be a side effect from these suppositories. I take mine before bed, and obviously in the morning there is the inconvenience for the “expelling” of the waxy white liquid into the toilet. Gross, I know. However, I have been feeling like this waxiness has actually made it difficukt for me to hold in stool? Almost like it just slips right down to where I have to pass it l? I have been passing stool probably 3/4 times per day, but the stools are always formed (maybe on the thin side), normal in color, and low volume. It’s almost like I’m passing my usual amount of stool, just instead of 1/2 larger volume stools, I’m passing 3/4 smaller size ones, but with a slippery feeling that they just kind of shoot right out? (I know, again, gross)

This access in passing stools has aggravated my internal Hemmies a bit and, while manageable, is annoying. I was thinking of asking my doctor to see if I could try doing a supp once every other night, and then wean down to maybe one a week from there? I have noticed on the nights I’ve forgotten the supp I don’t have this issue.

Has anyone else had similar side effects with Canasa suppositories?? I don’t think I’m still flaring as I have no other symptoms.

Thank you!
Age 22, diagnosed at age 8 - remission from age 9 to age 20. Have had one flare per year since. UC and internal hemorrhoids, so proctitis tends to be my main issue.

Current meds:
-Lialda (3 pills)
-VSL3
-Canasa Suppositories
-Tumeric Capsules
-Hydrocortisone cream (for internal hemmies)
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Uniform Charlie
Veteran Member
Joined : Jul 2015
Posts : 834
Posted 2/7/2019 8:11 AM (GMT -7)
Anytime I use any rectal med I feel more urgency, especially first thing in the morning.
Diagnosed Proctosigmoiditis (UC) 2015
Hiatial Hernia w/ GERD
Current Meds: Lialda 1.2gm 2x daily, duloxetine, rowasa as needed, VSL3 occasionally, One a Day Multi-Vitamin, Curcumin occasionally
Did SCD for about 2 years but lost willpower
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quincy
Elite Member
Joined : May 2003
Posts : 31459
Posted 2/7/2019 9:38 AM (GMT -7)
Normal to expel some of the melted parts of the suppository if pushing any time when sitting on the toilet to urinate or when having gas.

q
*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/Oxeze/Airomir (asthma); Effexor XR 75mg (depression); Rosuvastatin 10mg (cholesterol); Telemesartin 80mg (BP)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Genuine Health Advanced Gut Health 50 billion @ bedtime)
~Metamucil capsules 6 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
~Sjogren's (secondary)...symtomatic treatment
"TREAT (FROM)BOTH ENDS" worth it !!
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iPoop
Forum Moderator
Joined : Aug 2012
Posts : 14284
Posted 2/7/2019 9:38 AM (GMT -7)
The coating of the suppositories becomes greasy as it dissolves, that's normal. I know some have got stains in their underwear from it. I'd say what you describe is normal.

Hemis can certainly be a hindrance with any rectal-route med. You could always try rectal-foams, or retention-enemas as those you just insert an applicator tip to administer, afterwards there is no pressure on the hemi (like a suppository might do) which might be uncomfortable.
Moderator Ulcerative Colitis
John
, 40, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasa

Even Superman couldn't hold back the insurmountable force of UC urgency. But I bet those spiffy spandex shorts would at least hold in the mess!
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blossom829
New Member
Joined : Jan 2017
Posts : 10
Posted 2/10/2019 10:01 PM (GMT -7)
Thanks everyone - sometimes just hearing "normal" is all I need, but the rectal foam idea is one I hadn't considered. I might look into it!
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