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Cortisone enemas and blood

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Ulcerative Colitis
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Posted 9/12/2012 7:27 AM (GMT 0)
So I've been on the cortisone enemas for straight 2 weeks now but I'm still seeing blood in my stools. It's well formed and all and I'm happy about it. But I'm still having mucus and blood.

I wanted to taper cortisone from today on and go with Rowasa on the days I'm not taking the steroid enemas.

What can I do to make the blood disappear? Should I taper or stay on the steroids for one more week?
Posted 9/12/2012 9:24 AM (GMT 0)
I started cortenemas last month, did it for about 10 days but still was seeing blood... Even though I started rowasa and canasa...

Started them up again, I am on day 13 and have not seen blood - bright red that is- for about 4 days.
Just very tiny speck of maroon stain about 2 days ago...

I think I stopped too soon last time....

Maybe you should wait another week?
Posted 9/12/2012 10:52 AM (GMT 0)
I think I'll do that. I really want to beat this flare down.

Thanks
Posted 9/12/2012 11:09 AM (GMT 0)
I agree, definitely wait another week to see if the blood goes. But I wouldn't stop the steroid e's until you see no blood or very little blood. I don't think you should go cold turkey on the steroid e's after that though. You might rebound. But maybe do a taper while alternating days with the Rowasa. One night steroid e, next night Rowasa for a week or two, than go to every second night with the steroid e's and Rowasa in between etc.
Posted 9/12/2012 11:25 AM (GMT 0)
Yes, I had in mind to switch the enemas every night. One night Cortisone, one night Rowasa. But yes I'd think I should stay on the steroids for another week.
Posted 9/14/2012 9:47 AM (GMT 0)
This night I had some bm but I was shocked when I saw the amount of blood on the paper. Funny thing is that I saw some left over from the enema coming out right before that. Am I doing something wrong? I take the enema before sleep, laying on the left side and then go to sleep. I'm also taking Mesalazine orally. I don't want to take steroids orally anymore :(
Posted 9/14/2012 11:13 AM (GMT 0)
Do you have any hemmies that perhaps you are aggravating with the enema insertion?
Posted 9/14/2012 11:37 AM (GMT 0)
How can I find out? I tried to look but couldn't see anything bad.
Posted 9/14/2012 12:02 PM (GMT 0)
I have internal hems and one slightly on the outside. I didn't know I had the internal one (that one showed up before the external) until I had a scope. But when it was aggravated, it sort of hurt when I used an enema or it felt like there was a resistance. Do you get that sensation?
Posted 9/14/2012 12:03 PM (GMT 0)
I also wanted to mention, if you have rectal inflammation, sometimes it helps to squeeze the enema before inserting, so a little med comes out, and continue squeezing before fully inserting. This will help coat that rectum more efficiently.
Posted 9/14/2012 6:10 PM (GMT 0)
That's good advise. I never thought of that. Thanks!

When I was scoped my GI would have seen the hemmie right? Since he never mentioned anything should I assume I don't have any? Also the blood was mixed with mucus...
Posted 9/14/2012 7:31 PM (GMT 0)
Also, if you suspect a hemmie, put extra lube on the enema tip before inserting-- something water-soluble like K-9 jelly. / Old Hat (31 yrs with left-sided UC; presently in remission taking brandname Colazal)
Posted 9/14/2012 11:55 PM (GMT 0)
Andrina - When u began cortenemas did u have any formed BMs?
Posted 9/15/2012 1:27 AM (GMT 0)
Yes. But inbetween I had some d, too. But it's mostly formed. Today was formed.
Posted 9/15/2012 10:59 AM (GMT 0)
Ok just looking at what I may be looking at. I started E's with total D'. Still D'
Congrat on formed ! Its always good to see again !
Posted 9/15/2012 7:02 PM (GMT 0)
Should I continue with cortisone enemas until I don't see blood anymore or switch 1 night cortisone 1 night Rowasa next week? I was planning on switching next Wednesday.
Posted 9/16/2012 1:46 PM (GMT 0)
If someone could give me advise?
Posted 9/17/2012 6:34 AM (GMT 0)
Ok I wanted to taper off in 2 days but I just had a very bloody bm and I admit I'm panicking. Should I continue the steroid enemas until I see no blood or still taper them off and use Rowasa inbetween from 2 days on? Why were the steroid enemas working so well the first time but not anymore?? Am I doing something wrong or did I get immune to it or did my flare just get too bad? Please help :(
Posted 9/17/2012 6:43 AM (GMT 0)
I don't know hopefully some one can help you.I've seen no improvement yet...
Posted 9/17/2012 6:46 AM (GMT 0)
Which enemas are you on? What's the dosage? How long have you been taking them?
Posted 9/17/2012 3:08 PM (GMT 0)
Andrina, call your doctor and ask their advice. I personally would keep doing the hydrocort enemas until you see no blood.
Posted 9/17/2012 3:54 PM (GMT 0)
I'll call my GI or the nurse in a moment. I most likely stay on them until it's ok. Please cross your fingers for me that it will take effect soon :(
Posted 9/17/2012 4:03 PM (GMT 0)
DITTO! I WANT THEM TO WORK

CORTENEMAS IS WHAT I'M TAKING

Posted 9/17/2012 4:06 PM (GMT 0)
Fingers are crossed, for both of you. Let us know what your doc says.
Posted 9/18/2012 12:18 AM (GMT 0)
Thanks
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