Types of enemas

My first flare I got it under control from using Cortenema and I was okay for a couple of years.  This time my new doctor is having me use Rowasa nightly.  I have tried backing off but then flaring again.  He now tells me I may need to be on these forever.  I'm still in shock and denial.  So, my question is... what is the difference between cortenema and rowasa.  I know cortenema is a steroid.  Should i ask to try Cortenema again to see of I can get off the enemas?  Thanks for your advice.

Yes cortenemas are a steroid and although they don't get absorbed as much as an oral steroid, are not usually recommended for long periods of time.  Rowasa is a mesalamine, the same medication that is the lialda that you take.  It is considered safe for long term use.  Some people just need the medicine at both ends.  I tend to be one of them.  Although uncomfortable you'll get used to them and you'll also realize that it is a small price to pay to feel well.  If I were you I would not go on cortenemas unless the rowasa stops working.  If this is any consolation I've been on rowasa pretty steadily for 10 years, and although I have lots of times where it is a nightly dose, there are many months where I only have to do one every 3 nights.  Good luck figuring out what works for you.

I've been of steroid enemas for as long as a yr BEFORE tappering off of them with no ill effect...no side effects for me at all, my GI says it's because not near as much gets into the bloodstream compared to taking oral steroids.

:)