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Enemas and length of colon

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Ulcerative Colitis
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Posted 11/14/2013 3:08 PM (GMT 0)
I have distal colitis
Till which part of the colon can the enema cover? Today my GI said 40ml of Salofalk covers till the full length of the sigmoid and the 100ml covers till the descending colon i.e the end of the transverse colon.

I'm not just going by my GI's words. I'm sure you folks have more knowledge to share.
Posted 11/14/2013 3:12 PM (GMT 0)
Could very well be....but it would depend on how much stool is in the colon or sitting in the sigmoid as well.

I'd put my bet only on the sigmoid and a bit beyond.

Why are you on Pentasa 6g? That's a really high amount if your UC is only distal.

q
Posted 11/14/2013 3:37 PM (GMT 0)
I'm not surprised to see your reply quincy because it is a post on enema :-) . But I'm really really happy to receive a response from you.
Do you mean even the 100ml won't reach the full length of the descending?
I agree with you and your response makes sense as well if the area is inflamed and the stools sitting on that area can't be coated with the enema atleast not effectively.
One way would be emptying the bowel but one can't strain which might turn into rectal prolapse.
So what would be the best way?

Oh yes regarding 6g Pentasa I thought to increase the dosage to calm down this flare and I told my GI as well he too said its too high and will be hard on your kidney. He advised me go back to 4g and be on the enema.
Posted 11/14/2013 3:47 PM (GMT 0)
LOL...I do comment on other threads rather than only enemas (or I'd never have as many posts as I do)

It's WAY too high to be taking 6g of Pentasa, and as a matter of fact, one of the side effects could be diarrhea, etc...when did you increase it?

I see you do have mild inflammation at the cecum...but you don't need to depend on the enemas for the colon. The Pentasa, while it does release in the small intestine, it'll still go through the colon regardless, and that includes the descending colon.

I wouldn't worry too much about emptying at bedtime unless you have to go. I'd never force a bm either.
When's your usual time to go?

The 100mg liquid of the Pentasa enema will go as high as it goes, and even if it does go as high as the splenic flexure...it matters not. You're still getting meds via the Pentasa.

There is such a thing as overkill.

You're still tapering the Prednisolone?

q
Posted 11/14/2013 4:00 PM (GMT 0)
Right wrong or indifferent my GI has said my standard 60 ml enema will get the sigmoid and descending colon...up to the splenic flexure.

Maybe do a 100 ml enema, then do some handstands, yoga, and acrobatics and get it to the ascending... :D
Posted 11/14/2013 4:02 PM (GMT 0)
I started the extra dose of Pentasa last week. The mild inflammation at the cecum was diagnosed on May'13. This time I don't know I have cecum inflammation or not because they did only sigmoidoscopy.

My usual time to go to the loo is in the Morning around 6:30 to 7:30. I agree with you overdose is always a overkill.

Today is the first day I took 40mg Pred for the current flare. Because I got the prescription on 4th Nov'13. Then I got Sinus infection. I didn't know whether to take Pred while having the Sinus infection.
So I waited and took the first dose today.

I will update my signature.
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