Rectal meds?

I'm 2 +weeks into a horrible flare up I've been doing pred rentention enemas for one week,the first 2 days It was so inflamed I could'nt hold hardly any in.Last night I got all but the last cm in and it stayed in all night it has made a big difference I did,nt get hardly any bleeding all today and it's just started a again this evening.
I do tend to bleed a lot when I'm in a flare and it's v.painful passing clots etc.
What I would like is to try and ride out this flare without starting on oral pred,how long would you carry on with these just these enemas,I'm a bit worried because I've already lost quite a bit of blood and I'm starting to feel quite tired I can't let the bleeding go on to long unchecked as I'm quite skinny and get anemic and real sick looking quite quick.
I am also starting on psylium seed which I believe has helped in the past to keep pushing everything through.

Three weeks is fine without a tapering schedule, beyond that you will want to wean off of them, every other day for two weeks, then every three days for two weeks.

What kind of enemas? Pred enema? I never knew they had these. Or is it corte enema? I am confused I guess.

Have you asked the doctor about mesalamine enemas? Are you on any oral mesalamine at all?

q

Hi Anna,

The foam version of the mesalamine enemas is quite irritating for some people. I would speak to them about the 2g liquid version as I think it is better for reaching as high as possible and there are articles on the web which suggest these have been more effective for patients in trials than the pred enemas.

I think you might be right I am probably under medicating at the moment,but I suppose it is partly my fault as I am reluctant to see the consultant again I want to try and sort it out myself this time and I know going back to the consultant he will strongly advise I go straight back on oral pred and azathioprine.
I'm in the Uk so I don't know if we have the option of Salfork or what it is but I don't think I can have stronger enemas I think the 20mg ones were the only ones offered me at any rate.
But on the good side I think things have got a lot better this week end of second week of enemas,I had no bleeding all day yesterday along a bit in the evening but more mucous much less pain than last week when having bowel movements and much less blood than before during and after each movement.
I have had no D at all this time and no constipation which has been a real problem for me in the past,which I attribute to taking the psyllium seed everyday and keeping to a softer diet with no insoluable fibre or seeds whole grains etc no fizzy drinks and things that kill me when I'm all inflamed.So strangely I have no real bowel issues at all this time apart from the fact the stools are bloody skinnier and well obviously not normal I'm going x2 or x3 a day as oppose to once when I'm normal.
Like I say I'm hopeful things are going slowly in the right direction because I haven't got that level of feeling faint and tachycardia with the pain that I get when I'm really bad and the blood is certainly less.
Last night I could'nt get the full enema in again because half of seemed to come right out,which was really frustrating as its been so much better on the nights I've managed to retain most of it.
I was diagnosed with severe left-sided U C six years ago I had a scope last year when it was in remission and he did'nt mention that it had progressed any, but I do have a lot of polyps,he took some byopsies and they were all clear.
Thanks Anna

Hi Anna,

They do have salofalk 2 g and 4 g enemas in the UK. I think they are slow to prescribe it because it is expensive but you should ask for a prescription. Hope you are getting better.