Holding all of rowasa

I've been using the Rowasa (Mesalamine retention enemas) for months now. The one thing that is frustrating is that I cannot consistently hold all of the medicine in. l go for days with no issues, then a few days in a row where I cannot and I end up wasting some of it.

• First, I try to poop and I warm the medicine up to my body temperature during that time.
  
• I put 1/2 of the medicine in and then follow the directions. I vary, with seemingly no difference in outcome, between the lay on your left side position and the other chest position. When the uncomfortable feeling just doesn't go away I have no choice but to sit on the toilet and usually there is one or two marble sized poops that come out along with some of the medicine. Small enough material that I didn't know/feel I had to go, but big enough to be very uncomfortable when the enema is in there sloshing around in there I guess.
  
• I then take the rest of the medicine without issue and lay down again to make sure it absorbs.
  

I just hate wasting some of the medicine like that. I always do 1/2 first, just in case I expel some of the medicine as then I know at least some of it is retained. I've tried taking the enema at different times of the day with no real consistent difference in outcome.

Wondering if I can get a generic, refillable enema to clear things out first (if such a thing exists).

I am a Rowasa junkie! With encouragement from this forum I begged the MD for it. Bleeding stopped in a couple of days! I have used it every night for almost 3 months--except for 3 times. Once was my birthday! the other two times I just felt too much fullness and pressure.

Early on I would experience an "inflammatory fueled PM bm" (that's poetry, you guys). But I too wonder about the directions that say a recent bm is best before using Rowasa. Hard to be sure that's going to happen when symptoms and frequency are better.

I happen to have an high-tech toilet seat that heats, washes, dries. Given to me as a gift (!) not for medical reasons and purchased at Costco the warm water wash feature does stimulate a localized emptying when aimed just right. Maybe this is worth a try for others with questions about using saline/fleet.

I should add that my inflammation is higher up--sigmoid. So this technique might be irritating to some. Any harm? Let me know what you think. But at this point I will do anything to stay away from pred, and give the medication the best chance to keep the bleeding and all those other miserable symptoms from returning.

I have had trouble retaining enemas but usually when i am flared up. When i am not, it varies between no discomfort and moderate discomfort. I usually dont use the whole bottle of fluid. I use whatever i can squeeze out without going crazy, probably three quarters. I think half is probably effective but if youre having that much trouble retaining, you may need something stronger like a steroid enema f8r a while or you could try canasa