Long term pred foam use

I've read that long term pred foam use can result in bowel wall thinning, so why when I seem to be with a good GI have I been on 2 pred foam daily since September? Is that safe?

(This might be a funny / unknown question but would doing mesalazine enemas as well prevent the damage? I have started doing Salofalk enemas more regularly too)

quincy said...
It's true, so alternating is a good thing. Save it for the boost rather than the maintenance.

You should taper down as I assume you're doing.

q

Thanks ... Well, not really. I guess I've done 1 instead of 2 more lately, and this last week mostly just 1 a day, but my symptoms are not really much better than they were to begin with anyway could you help me know how to taper down effectively?

I think we're considering switching from Remicade to Entyvio anyway ... just fed up of the steroids! Mainly because of the bowel thinning thing and how "unknown" it is

EDIT: If it were thinning would I have symptoms like bleeding or would I not know? Also if I come off them would the thinning effects be reversed or is it a case of once the damage is done it's done?

Post Edited (~ chicken wings ~) : 2/11/2017 11:09:19 AM (GMT-7)

quincy said...
If you were using 2 daily....stick to it during the day and alternate that with the mesalamine at night for a week. If all is good, do the mesalamine every two nights and the steroid foam on the third.

Just see how it goes. Hope the other biologic options help get you out of the flare.

q

Thanks. I've jumped from 2 daily to 1 daily now but only been doing that for 4 days so early to tell completely ... hopefully I'll be okay ... to be honest my symptoms are still there anyway, it all feels rather hopeless and pointless but at least they are aware of me.