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Help! Rectal pain... (Quincy, in particular)

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Ulcerative Colitis
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Posted 12/29/2009 9:35 AM (GMT 0)
In pariticular this is a message for Quincy

Dropped to 7.5 on a pred taper and no experiencing lots of rectal pain.

'what are the side effects of rectal meds. Is it the same side effect as the oral prednisone?

I couldn't convince my doctor that I needed them when I saw him a month ago. I guess I didn't have any pains to speak ofl. But now that I have so much rectal pain during bm -- it all started it seems tonight -- and I'm at 7.5 mg prednisone plus 12 Asacol. I really see the need to make me more comfortable with rectal meds

Is it hard to taper off of the rectal meds?

Is remission a possibiity with where this seems headed?

ellen

Thanks..
Posted 12/29/2009 4:14 PM (GMT 0)
Yes, that's probably rectal inflammation as well as possible spasming.

The rectal meds should be tapered and the best case scenario is to taper them to a maintenance dosage.

The steroid rectal med (proctofoam is a low dosage) will help you get through the taper hopefully avoiding the need to up the pred.

When you taper, you can try to alternate....example now to do 7.5, 10, 7.5, 10...etc then 7.5, 7.5, 7.5....then alternate your next drop dosage...etc.

You should call the doc and say that you're having problems and you want to try the rectal foam proctofoam and see if it can help you taper the pred without any setbacks.

hope this helps.

quincy
Posted 12/29/2009 5:58 PM (GMT 0)
I just got off phone with Doc, and he's giving me a rectal med. He was against it at first. Thanks for your advice, Quincy, which I've heard from others but you explained it better. Wish me luck on this taper...


ellen
Posted 12/29/2009 6:16 PM (GMT 0)

I was getting ready to ask everyone out there about rectal pain.  I was dx with left side UC in midsummer.  I'm now on Apriso, 4 tabs in the am which seems to be doing OK.

On Christmas, I began experiencing a sharp pain inside my rectum and it is still there.  Is this a common concern for UC?  I see my dr on 1/15, and am not sure if I should call him earlier.

Any advice would be appreciated.

Posted 12/30/2009 12:31 AM (GMT 0)
Do you have any rectal meds? Difficult to tell if you have inflammation or some kind of hemmie or even a fissure.... have the number of BMs, or bleeding, increased since you've been experiencing this pain?
Pain is a message that something is not right, and if you have no rectal meds to try on your own before your appointment, it might be worth a call to the Dr.
Posted 12/30/2009 4:34 AM (GMT 0)
Hi Ellen....good to hear the doc prescribed you some butt meds...so, what exactly did you get? How long is the prescription for and I hope it can be refilled many, many times..lol.

Curious what I said that helped with the explanation?

Keep us posted as to how you're doing. Dealing with flares is one thing. Tapering off a med that can have some setbacks is difficult when one has to wait for the body to start producing hormones on it's own (cortisol as in after a pred dosage taper).

I don't get the BIG problem your doc had against rectal meds at all....maybe some doctors just think patients won't use them. They should do a study on that.

quincy
Posted 12/30/2009 4:39 AM (GMT 0)
moogie....if we answer your enquiries, will you answer ours?

What other meds are you on as well as the apriso?

If this is something new for you, it could be a severe spasm, hemorrhoid, fissure, flare...etc.

Is it during a bm or throughout the day non-stop?

How many bms are you having?

Are you on any rectal meds at all?

I don't think you should wait to see the doc.....do call if that pain continues till tomorrow. If you can get in earlier, that would be good.

quincy

quincy
Posted 12/30/2009 8:52 AM (GMT 0)
doc put me on canasa. hope it works...

how long before it takes effect if it does? Is this the right med in your opinion?

Posted 12/30/2009 2:47 PM (GMT 0)
Thanks for your advice.  I have been on Rowasa in the past for about 2 months, but dr took me off about 1 month ago, since I was doing a bit better.  My bm's have not increased since my rectal pain.  Only difference really is the pain.  I do feel a little better this morning, so perhaps whatever it is may be getting better.  I will keep an eye on it and if it doesn't continue getting better, I will call the dr next week.

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