Administering Rowasa

First, it takes time and practice to retain the enema. So stick with it and it will get easier. The fluid stains terribly, so put down an old towel just in case you spill some. Stay on or very near the toilet until you know things are settled, as enemas can come out quickly and unexpectedly.

Squeeze all of the air out of the bottle, a drop of fluid should be resting in the top of the tip before administering (injecting air bubbles will cause you discomfort and make you need to evacuate).

Stick about 1/2 the tip in, not all. Inject half of the fluid, slowly (to quick and it will be uncomfortable).

You will feel a strong urge to evacuate the liquid, ignore that sensation and it should go away after a minute or two.

Wait 5 minutes or so, and then inject the rest. I always do 1/2 at a time just in case I cannot retain the 1st attempt, gives me a second try.

Lay on your left side for 20-30 minutes until the liquid is fully absorbed. Read a book, watch tv, or whatever. Retire for the night.

Enemas fight rectal inflammation (the cause of dreaded urgency). As long as you retain some of it, then it will work. The less inflammation you have, the easier it gets. Give the enemas a few weeks and you should start noticing improvements.

Generally, treatment from both ends is the most successful treatment for uc. So that means a pill and then either an enema or suppository. Stick very little of the enema tip in then if it bothers you, it makes little difference how much tip is in as as long as you can administer all of the med.

As enemas can come up quick and unexpectedly, I stay right over the bowl when administering the enema: butt over bowl for spillage. The directions say either lay on your left side or lay on your belly, I find both of those uncomfortable.

You should have a pill based meslamine medication, in addition to the enema. All the pills are very similar. I take lialda, a once a day medication. Apriso is also once a day. Many of the others are 2-3 times a day.

I second iPoop. Oral mesalamines plus enema ones put out the flare as quickly as possible for me. I administer it while laying on my left side, on the bed. You can use a towel underneath you in case of accidents. This is how I end up sleeping with the enema, http://spiritualityhealth.com/sites/default/files/yoga_0000s_0001_IMAG1166_2.jpg

What are you afraid of when inserting the tip? It's a little uncomfortable but it's not as bad since it's only there for a coupe of seconds whilst you squeeze the liquid in. Once you pull it out, you feel a lot better.