Probably going to make another Dr's appt

My first post is this one https://www.healingwell.com/community/default.aspx?f=38&m=2644238&g=2644488#m2644488

I have a limited area in my rectum that is inflammed. I saw my specialist on the 4th and have been on 4.8g mezavant and nightly enemas ever since. I've been on oral medication since last November and enemas on and off (3 times a week to nightly depending on what the dr's orders). I don't feel like I'm getting better at all and I feel worse some days. Is this normal? The specialist told me 3 weeks is usually the time enemas take effect... or was it heal the ulcer?

I took 2 metamucil capsules last night 30 minutes after a meal. The package says to take 5 pills once up to 3 times daily which I think is way too much for me. I need to start slow. But, this morning I woke up and blood was dripping out. I didn't see but I could tell it was because the toilet water colour. I don't know if the metamucil caused this or the metamucil caused my first bm to become so bulky that it cut my butt. Also, metamucil made my mezavant pill (just saw one) go undigested. I can't get a handle on scheduling metamucil properly so that it doesn't affect my mezavant.

Thanks for all the help. I called my specialist's office and left a message to make an appointment. I think I might need to change medications or do something...

Everybody heals at different rates. And I generally find it isn't always a straight, easy progression to recovering. I find myself having one or two really great days where things are improving and I get my hopes up. Then the next day is a bad day with more bathroom visits, I have more urgency and so forth. I'd say don't let any single day discourage you. Just look for some sort of slow, steady progression if you look at perhaps a week at a time or something.

But yeah, if things are not improving over a series of weeks then talk to your doctor. You might need to use the enemas nightly, you might need a higher dose of medication, or you might need a different medication entirely if things fail to improve. Sometimes it is trial and error to get out of a flare, and it may take several tries.

Ok, just a reminder that it's not "an ulcer".

Are you on the nightly meds? you're not improving, so increase them to nightly at least to get back on track since your last post about this was a week ago.

You could call the doctor and ask for him to prescribe you a steroid foam that you could use in the morning...or a steroid suppository.

Take only one metamucil WITH your meal..just before it. It'll work as fibre with your food.
I don't think it had anything to do with the bleeding..did you have a really hard stool?

The other possibility of the bleeding is that you might be nicking the area with the tip of the enema...do you use a lubricant on the nozzle before inserting it?

about not retaining the enema last night...did you go the weekend without them?

Hang tough...you have a few more options. Don't worry about one mezavant pill...it wouldn't not dissolve because of the fibre.

What's the schedule of taking the Mezavant?

q

Tell me why you have empty enema boxes under your sink?

Have you been using the cortifoam daily for a while?

Good idea on the KY. You might also have a fissure...which can also cause bleeding and dripping in the toilet.

q

oh..lol.

Hope you have a better improvement with the nightly mesalamine.

Keep us updated.
q