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Cortenema users?

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Ulcerative Colitis
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Posted 2/10/2013 4:50 PM (GMT 0)
This is my 3rd try on the cortenemas - my GI felt the Canasa quit working for me again & we are trying Flagyl w/Cortenemas for now. 

My last sigmoid (10/2012) showed my colon was clear & my rectum was severe.  Had a wonderful 7 day Prednisone free remission & it began again. (been flared now since 3/2012)

While i don't seem to be getting worse on the Cortenemas this time around - it has become very difficult to insert it.  I get it in justa touch & squirt some out, slow, squirt, etc.  BUT - it's a hard go - seems to be very swollen inside.  I have what feels like internal spinchter pain - 9 out of ten when going (loose stool blood & moucus)  it itches like crazy and over the course of an hour it feels irritating rather than painful.  Since I am going about 6 time a day right now - there's not a whole lot of comfort going on!

I've tried lukewarm bath soack, nupricainal, bactroban & nystatin.  (Everything looks normal external) Going to call GI tomorrow - any ideas to help me for now??

Thanks ahead!!

 

Posted 2/11/2013 12:05 AM (GMT 0)
Do you apply a liberal blob of lubricant (e.g. petroleum jelly) to both the bottle tip and your butt before insertion?

You could do a (previously boiled) warm water (not hot) enema to induce a bowel movement and clear things out a bit before inserting the enema with the meds.
I saved some of the empty bottles for this purpose.
Good luck!
Posted 2/11/2013 12:35 AM (GMT 0)
Definitely lube the bottle up well. I found KY works best for enemas. Also maybe just try to work your way to a full bottle? Half a few nights. Then see if can retain more and more.

Have you ever tried cortifoam? I'm not sure how many cms you have affected but I like the foam better than the cort enemas.
Posted 2/11/2013 1:15 AM (GMT 0)
ItAlways Something - thanks for the ideas - yes, lubed up - but I don't really need to induce a movement right now - I "went" 8 times already today...have been on liquids only for about 4 days now. The previous 2 weeks were all diarrhea. Right now it's 3/4 mucus chunks with some blood & 1/4 of loosely "formed" stool when I do go.

pink1 - I have been able to retain it (barely) and use the entire bottle. It's like a scrape my insides on the way in, regardless of using lube and the correct positioning. (never scraped like this in the past). As of 10/2012 my sigmoid showed that my colon was good and I was severe in the final 18 cm. Never tried cortifoam - maybe I'll ask about it.... or perhaps a different rectal med all together...

Thanks again for your responses! I seriously do not wnt to go back on the Prednisone...
Posted 2/11/2013 1:31 AM (GMT 0)
I need to double ck how high the foam can reach. It may only get to 10cm or so. I think the applicator is easier to insert than the cortenemas.

Did you try Rowasa yet? Unfortunately I never had any luck w/ those but lots of people on here use it w/ success.
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