Pentasa and gastritis- Any advice?

Today I had my first solid and not mushy bm in years, which means that pentasa is working. But I have this ugly pain of gastritis and there is nausea. 3 weeks ago, I was put on nexium and zofran iv for 8 days coz of gastritis. I begged my GI then to prescribe them and he told me that I take nexium double dose and should not complain. I have gastritis symptoms again: severe nausea and inability to even swallow a sip of water. I skipped 2gs yesterday of pentasa hoping things will become better but no. I'm really confused. Pentasa w entocort are controlling my ileocolitis symptoms and I take enemas for proctitis. I have to take pentasa 4g for proctitis. I have GERD and duodenitis in addition to chronic gastritis. If I see my GI, he would either change pentasa, which is something I can't afford (not money wise) but I adapted my life to it OR perform an endoscopy which won't be of any help. I failed all immunosuppressants and can't imagine myself getting back to pred.

Hello minnietoty,

I am very sorry to hear that you're having these issues.
www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000880
"Mesalamine (Pentasa) comes as a delayed-release tablet and a controlled-release capsule to take by mouth and as a suppository and an enema to use in the rectum. The delayed-release tablet is usually taken three times a day, and the controlled-release capsule is usually taken four times a day. The suppository is usually used one to three times a day, and the enema is usually used once a day at bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take or use mesalamine exactly as directed. Do not take or use more or less of it or take or use it more often than prescribed by your doctor.

Swallow the tablets whole; do not split, chew, or crush them. Be careful not to break the protective coating on the tablets.

If you are unable to swallow the capsules, you may mix the contents of the capsules with water. open a capsule and sprinkle all of the beads it contains in a small glass of water. Stir the beads into the water and drink the mixture right away. Do not store mixtures of beads and water for later use."

This is something that should first be discussed with a GI. If you're not happy with your current GI, definitely find a favorably reviewed GI.
With that said, obviously you have to get your gastritis under control first.
There's variables in your situation that I just cannot answer and need to be addressed by a physician/GI. The fact that you're using enemas for proctitis and your inability to tolerate antiemetics in a pill form.
I realize the post is from yesterday and it's Sunday, it may be time for an ER visit to get your situation under control immediately.
I'm sorry, I wish I could be more helpful. I hope you get the treatment that you require and very soon!

Datawraith and Djin, thank you very much.
I managed to see my GI yesterday though his secretaries made me feel humiliated. They accepted to let me in and then while I was waiting for 3.5hrs they wanted to apologize. I complained to him and he apologized for their behaviour 2 times. I believed that he was unaware of what they did. Anyways, he was very annoyed to find that my stomach really hurt that severly. So he prescribed famotidine 1x2, nexium 1x2, riopan gel as needed, carafate (I don't have suspension so he suggested grinding the tablets and adding honey and water to itx2). Also ensure powder was increased to two times as I can't eat. I was even prescribed a kids syrup multivitamin. However, I was warned against reducing any of my Crohn's meds as i don't need a flare up at the moment. I have to take pentasa 4g, entocort 6mg and the enemas and he told me to push myself to eat and see him in 2 weeks.