iPoop said... Thanks so much for explanation! While I do not mind using enema I’m concerned about kidney damage from taking both oral balsalazide and enema. Do you have blood works done for that or is it a none issue for you?
According to medical text books, we all need enemas for flares and in a remission we should be able to stop them. Medical text also says we can reduce the dosage of our mesalamine/Balsalazide dosage to approximately half of flare dosages during remission. That's a broad generalization, but as everyone's disease severity is varying so are what you/I need to sustain a remission. In my case, I've never been able to taper off of the mesalamine enemas even during a remission. Others can. Some might do the enemas at a reduced frequency during a remission, as needed, twice a week, etc. You have to findout what works for you.
If you failed one taper off of the enemas, continue nightly for another month or so and then try again. Go to every other night and do that for multiple weeks, then twice a week, then once a week, then stop. If your symptoms get worse during a taper then go back to nightly.
Yes, while on mesalamine enemas, that first poop of the morning might have more urgency, be a little looser, and might contain white liquid, or the stool might be lighter than coloration than poops later in the day. Why? The enema fluid is never 100% absorbed, so it might make the stool looser, and might discolor the stool. I've even seen white drops in the toilet the next morning, some of the fluid wasn't 100% absorbed, normal for us.