Tenesmus

Does tenesmus and/or rectal pain ever really go away? Or is this something I need to get used to? On prednisone 30mg and just started 6mp yesterday for my flare

yes, it will go away! Hang in there.

Mine resolved with remission; its horrible; it gave me multiple roids that are healing but they seem like they will always be there; after I voided I made a conscious effort to realize I was done stooling and tried to stop the pressure and relax its hard to do this though at least for me.

Tenesmus seems to be relative to the amount of rectal inflammation you currently have. It gets worse (or near unbearable) when flaring. It eases as you heal. It can go away entirely when your uc symptoms subside (I.e you go into remission). Hang in there, it gets better...

I just hit my 6month with this flare. Cant stand the random pain i get worst part. Think i should just use canasa again as well?

I have it during flares and when in partial-remission, I've never had a solid remission because the tenesmus never eases. It's unbearable at times, it truly does consume you. I wish there was a way to fix it, but there simply isn't, distal inflammation has a tendency to linger on.

Yes, it does go away for me. I ONLY have it if I'm flaring, but it happens with the least amount of inflammation....so I deem it a flare.

Rectal meds are the only help from my experience. While antispasmodics help ease the spasming and nausea, they help squat with healing.

Iif you don't find mesalamine helps, ask for steroid low dosage enemas such as proctofoam or suppositories such as anucort with steroid.

you have a long way to go while tapering off the pred.....during that time you might consider alternating mesalamine and steroid rectals.

q

For what it's worth, my tenesmus went away (outside of acute flares, but even then it was less intense) after I addressed many emotional and stressful factors in my life.

Turns out a lot of people and negative thoughts were literally pains in my ass.

Yes, it goes away, but it is one of the worst things about UC, and as others have pointed out, one of the most difficult symptoms to control. Though 5ASA's don't work as well as they used to for me, I do find that Canasa supps still do the trick. I have to be careful because I swear using the supps too often (say, more than five days in a row) causes its own irritation that feels an awful lot like tenesmus. But after a lot of trial and error I am fairly confident that a schedule of one Canasa every three or four days keeps the Tenesmus at bay. Don't give up!

Thanks. So im currently on prednisone 25mg and 50mg 6mp just started Wednesday. I don't want to overdue the steroids. Im also taking lialda 4 pills a day.