steroids

Just a quick question.

Have been steadily getting worse over the weekend. 20 bms today with some blood but I am very sore from wiping.

I have left a message o the gi nurse answer machine to say that I am 100 per cent sure that I am in a flare. My gi gave me some steroids to take on holiday with me but I have not taken them. I have told the nurse that I am on the verge of taking them.

I have put them in my bag and am going to speak to her tomorrow. Been using enemas now for about three weeks and have just started supposiotories in the morning.

If I was to start taking these steroids would it be okay to take them in the afternoon. Normally I would take them first thing but I am going to hold off a bit. What would happen if I took them later?

Thanks or you replies

I don't think there would be any consequences of taking them later but they might keep you from getting to sleep

Wow...That's a huge jump from what you had a few days ago.

I still think you should have another stool sample to test for c.diff or something else...just in case...before you start the steroids.

I'm confused about something...if they didn't believe you were in a flare, why were you given steroids?

q

Sorry if you don't mind posting your meds I forget ( hard to keep track)

You are definitely flaring wether it's caused by a pathogen or not you need to up your meds. If you are tolerant than I would max out on both oral and rectal mesalamines.
If you are already doing so than maybe add something like imuran and a prednisone taper until that kicks in.

But I agree to double check about c. Diff if your symptoms worsened so fast that's a classic sign.
However c. Diff usually has looser than normal stools and if stools are fully formed they don't usually test for c. Diff
Not all patients present with the same symptoms I was passing blood and mucous ( in the beg.) and didn't have fever
I was incontinent from my flare so I didn't realize it was c. Diff.

Are you going away for holiday? If i were going somewhere, I would probably want to get going on the steroids sooner than later so I could control things for the trip. If it's just some time off and not a trip, waiting and getting a stool test is a good idea. I mean, if it's c. diff, the steroids likely will not do the trick, you will need antibiotics, so a stool test is definitely a good idea. I would think it's not c. diff unless you've been somewhere you think you've been in conditions where it would occur. I used to always think I would have c diff because I was on antibiotics and I was in the hospital but it never was... I guess you never know.