Posted 3/6/2011 8:51 PM (GMT 0)
Mesalamine enemas are exactly what they sound like. The medicine is in a liquid form that you insert into your rectum, usually once daily (at night). You are meant to hold it in for about 8 hours if you can. This is intended for people with inflammation in the rectum or sigmoid colon.
I'm concerned that you do not have right diagnosis (UC). If you are having trouble swallowing, experiencing nausea and vomiting and fatigue, and general achiness (is that joints? Muscles?) I recommend that you go into your GI to talk about what's going on.
You should get a copy of your most recent bloodwork and go over it so you understand all the tests that were done and what they mean. Anemia can be chronic and debilitating for sure, but other nutritional deficiencies like low vitamin D or low B vitamins can also make you tired and achy. When you were anemic, were you passing a lot of blood in your stool? If not, do you think there was occult blood in your stool? If not, perhaps you are not absorbing iron well from your diet, which to me would indicate another kind of inflammatory bowel disease (Crohn's).
Are your parents a part of your treatment discussions with your DR? They should be; if they are not available or able to be a part of these meetings with your DR is there another adult in your life that you can bring along?
Oral steroids are extremely effective at addressing flare ups and while they should not be used extensively, can be a reallly great tool for managing this illness. Many people do well on them (I personally love the feeling of euphoria and energy that I get when on steroids) and do not have trouble getting through the taper. You should, of course, keep a record (that would be in your chart) of when you have taken steroids so that your doctor can make sure your lifetime use is not too much.