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Ulcerative Colitis
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Posted 11/10/2018 5:20 PM (GMT 0)
Hi guys just joined. I was looking for some advice on my meds and current condition. I've been diagnosed with ulcerative colitis about a year ago was doing well this past few months but for the past month been having some problems. I'm on 6 X 2.4 mg of Mesalazine a day . I've been given Mesalazine enemas to take at night I've also been given pred foam. Should I take the Mesalazine enama as well? I'm not getting any blood and going about 6 times a day no real pain apart from pain in my bum. Feel constantly like I have to go but just a little pathetic amount would come out which is loose and soft. Any advice would be great.

Thanks
Posted 11/10/2018 5:42 PM (GMT 0)
Hi...welcome to the forum.

Yes, take the mesalamine enema at night and the predfoam during the day...after the majority of bms.

Were you on an enema before this flare?
And what is the extent location of your original diagnosis?

q
Posted 11/10/2018 5:50 PM (GMT 0)
Hi thanks for replying. No I wasn't on the enemas before and there was 30cm of my lower left colon with chronic inflammation. I've also been on the low residue diet which I think could possibly be constipating me. But I'm frightened to eat any thing with fiber.
Posted 11/10/2018 5:57 PM (GMT 0)
Constipation is part of a flare....meaning it depends on where the inflammation is limited within the rectum.

You can increase bulking foods of soft fibre so that your stool will be softer. As well adding fibre supplements with meals is helpful. I increase fruits or add more vitamin C.

Trial and more trial. Are you having lots of gas or cramping? If so, asking your doc for an antispasmodic will help.

q
Posted 11/10/2018 6:05 PM (GMT 0)
I don't really have an issue with hard stools. But I feel like I've a constant need to go, and when I do go it feels like im not empty also I'd get terrible pressure on my bum. I've been given buscopan for the cramps and yes I get a lot of bloating and gas.
Posted 11/10/2018 7:05 PM (GMT 0)
Did you have constipation before this...meaning small stools, infrequent?

Stay on the enemas till all those symptoms.....including constipation phase....subside. Taper the steroid first.

Keep us updated.

q
Posted 11/10/2018 8:01 PM (GMT 0)
No I didn't have constipation. Yeah Ive got 28 day supply of the pred foam. Thanks for your advice really helpful. I'll keep you all updated.
Posted 11/10/2018 9:17 PM (GMT 0)
don't be frightened - fiber is your friend - low residue is for weanies !

man up and eat your fruits and veggies - you will thank me -


*note: the above is delivered with a small amount of sarcasm/smartassness ;-)
Posted 11/10/2018 9:27 PM (GMT 0)
adding to what TT said.....and chew well! Drink enough fluids during the day.
Understand that there are different types of fibre, and they do different things in the digestive tract/digestion process.
Being afraid....whats the worst that can happen (not talking extreme intake here)? Keep a food log and when and how much.
Stay connected and ask questions. We all have various results..

q
Posted 11/12/2018 11:41 AM (GMT 0)
A low residue diet has made my life livable over the past couple weeks as I was experiencing similar symptoms to OP — it’s not constipation, dude. It’s likely inflammation/tenesmus.

Additional fiber and bulking is emphatically non-helpful in that situation.
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