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Mesalamine Enemas rule

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Ulcerative Colitis
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Posted 6/10/2024 12:50 AM (GMT 0)
Friends, I hope you all are doing well and wishing you nothing but good health and remission.

For those who are thinking about or struggle with doing an enema, I highly recommend sticking to it. I do one mesalamine enema at night before I sleep and it's helped me get to and stay in remission. The analogy I like to use is it's lotion for your colon. Even if you can only hold it for a minute, keep trying it each night and you will eventually get to 10 mins, 1 hour and eventually the whole night.

Stay positive and be well!
Posted 6/11/2024 10:10 AM (GMT 0)
Glad that they work for you. In my opinion rectal meds are often underrated as a treatment - especially for mild disease. Mesalamine enemas never worked for me, but hydrocortisone enemas were able to keep me functional until other meds kicked in. Are you also on oral meds? If not, discuss with your doc. Oral and rectal meds may be the combination for you that can keep you from ever needing to escalate to other tiers of drugs.
Posted 6/11/2024 5:13 PM (GMT 0)
Yes...they've been underrated the entire 35 years that I've used them, in conjunction with oral 5ASA. They serve a strong position in what they do as first tier and adjunct treatment. Worth the continual use...increase during flaring, taper to a maintenance. Lots of work to recognise symptom changes of flare and improvement...many drop them too quickly and don't continue with maintenance. I agree that the steroid options are a valuable option as well.
q
Posted 6/12/2024 9:25 PM (GMT 0)
Yes. On oral as well. Used steroid enemas but mesalamine always worked best for me. Just hope those who have what we have never taper too fast off enemas. Very underrated indeed in my opinion to keep me in remission, where as in the past I stopped after I was in remission and got flares after my oral and infusion meds stopped working.
Posted 6/13/2024 5:02 PM (GMT 0)
Interesting.

Give us some background on your UC location extent, when diagnosed, maintenance schedule.

Welcome to the forum.

q
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