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Ulcerative Colitis
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Posted 3/5/2011 6:24 PM (GMT 0)
How do I know if I need to go to the hospital or just ride this out at home? I started meds abou 1 1/2 weeks ago and seemed to start feeling better a few days ago but feel worse again today . The pain on my lower left side is back- it's almost like I can feel one spot that is really raw and sore. I'm also not sure if I am constipated or if it's just the rectal pressure. I keep passing small amounts of liquid stool but feel like there is hard stool behind it. Yesterday I did pass some hard pebbly stool. Not sure if i should keep up with daily mirilax.
My mom thinks I should go to hospital for a ct scan but I'm not sure that will accomplish anything.
Posted 3/5/2011 6:34 PM (GMT 0)
Hi,

I am not a medical doctor, but I think your symptoms are not extreme at this point to go to the ER. If you can talk to a GI on call, he/she might advise you better. With UC or UP, a flare has ups and downs, and you need to give your meds some time to kick in. Of course, if your pain becomes unbearable, then go the hospital. But the stool "experience" that you describe sounds normal for a UC flare.
Maybe you should ask your GI for a prescription for enemas, since they have more med than Canasa and they can reach further down your colon. Many people here, including myself, have had great results from Rowasa enemas, so you should give them a try.

Best,
RT
Posted 3/5/2011 6:43 PM (GMT 0)
Did you call the doctor to get a prescription for a rectal retention enema rather than the Canasa?

I don't think you're at the point that you need the ER unoless your pain is absolutely unrelenting or getting worse...Call the doctor on Monday and try to get in for an appointment asap.

What is the amount of Lialda you're taking? Have you been using the suppositories?

q
Posted 3/5/2011 6:51 PM (GMT 0)
Thanks for the quick replies. I inquired about enemas earlier in the week and the pa said she thought they would be too irritating based on my symptoms. I am using the Canasa suppositories and I guess it's progress that I am better able to retain them. Used one this morning and also last night. I am taking 2 of the lialda daily and am down to 2 entocort after week one of taking three.

Tylenol does help but I'm trying not to use too much. Went a night without vidicon but took one last night again and did sleep til about 3am then up and down to bathroom every hour
Posted 3/5/2011 6:59 PM (GMT 0)
Well, I think you should still push for the enemas....the Rowasa, not steroid at this point.

It's your butt, after all...worth a try.

I don't get how a doc would say too irritating. I was at 20 bloody razor-like, white-knuckling bms daily and the enemas were a lifesaver.

A thin nozzle rather than a finger was easier to insert...to me.
q

Posted 3/5/2011 7:11 PM (GMT 0)
I head to the hospital with uncontrollable diarrhea. Can't keep up with my fluids.

Mesalamine retention enema -- get at the rectal inflammation if you feel like you want to go but can't.

I've gone to the ER with colon pain that's not gas -- the next night there was blood, lots of it. Colon got really ulcerated and bled.

All ER could do for me was give me a shot of pain killer that wore off after six hours. Then I started steroids.

Anyway, when I got admitted there was either 1) an elevated white count 2) couldn't figure out what I had and I was in bad shape. This was before my diagnosis of UC.
Posted 3/5/2011 10:23 PM (GMT 0)
Hiya I think you should stay at home for now, but should go to hospital if your symptoms get worse despite taking oral meds.  Especially if you start to bleed a lot and the pains get unbearable.  Last time I went when I started vomiting up blood.
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