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Retention enema trouble

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Ulcerative Colitis
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Posted 3/18/2022 5:38 PM (GMT -8)
So I have years of experience with salofalk enemas and have always been able to do them fine.

However lately I’m having trouble inserting them and have been using lubricant.

But today was the final straw, I tried again and again and with 2 separate enemas (now in the garbage) and just couldn’t get the nozzle to go far enough inside…its almost like my anus is fighting it and locking the door.

Its also quite painful lately because I have a lot of cuts down there which also burn bad during a bm..not sure what this is or why but when I try inserting the nozzle its hard to tell if Its something I may be hitting inside or the cuts on the sides when going in, so tonight Ive basically not been able to use the enemas.

Has anybody experienced this?
Posted 3/19/2022 6:00 AM (GMT -8)
The only time I ever had problems like that was when I didn't have the nozzle angled correctly ... it should be angled so that it's pointing to your belly button. Once I correct the angle it goes in easily. I didn't realize it wasn't angled correctly until it wouldn't go in all the way. I had been using enemas for a long time so was surprised that when the angle was just slightly off it won't go in. Don't know if that's what is happening with you, but maybe someone else has some suggestions.
Posted 3/19/2022 10:01 AM (GMT -8)
Definitely try the angle suggestion and try to fully relax the sphincter muscles before inserting.
I dont remember exectly, but weren't you recently checked for hemorrhoids or fissures?

Load up on the lubricant...

The other option is to do the enema with the crouching butt in the air position...I've never done it that way, but it might relax that area better. Remember the position of the nozzle toward the front.

Let us know how it goes.
q
Posted 3/20/2022 5:27 AM (GMT -8)
Thanks for the replies!
I think it may be related to the cuts/fissures actually in and around the anus at the moment, I feel like my body is naturally clenching up maybe. The las scope did show no haemorrhoids but every now and then I get the cuts around the anus which burn during a BM. Ive just used the suppository for the last couple of nights to allow some healing.

I started Humira last Monday and still on 200mg on Imuran, the only reason Im still doing the rectals is because the doc said to continue for a month still so Im trying to taper it now because in theory there shouldn't be much need for them I don't think.
Posted 3/20/2022 9:12 AM (GMT -8)
Did the doc rx you anything for the cuts...aka fissures?
q
Posted 3/21/2022 1:14 PM (GMT -8)
It's probably due to the cuts/fissures. I would ask your doctor if there is any treatment for those you could use.
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