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Doctor insights on: Mesalamine Rectal Suspension Enema

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My biopsy result is chronic inflammation w/ lymphoid hyperplasia but my new GI insist its only IBS but my 1st GI prescrbed salofalk 4* aday. Confuse?

My biopsy result is chronic inflammation w/ lymphoid hyperplasia but my  new GI insist its only IBS  but my 1st GI prescrbed salofalk 4* aday. Confuse?

Probably IBS: I agree with that your G.I. Doctor that this may be irritable bowel syndrome and not also have colitis crohn's disease or other types of active colitis. Lymphoid hyperplasia is a very common condition in the colon and terminal ileum. Chronic inflammation is very nonspecific and when mild with out features of autoimmune disease is often a variant of normal. ...Read more

Enema (Definition)

An enema is the introduction of liquid into the rectum to evacuate the bowels[ principly the colon/ large ...Read more


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How much time am I suppost to hold in a mesalamine enema?

How much time am I suppost to hold in a mesalamine enema?

Ideally you should: be able to hold it in through the night time sleep cycle. This may take several days before you can accomplish this. The longer you hold the more effective the treatment. Let your prescribing doctopr know if after a week you are still not able to go thru the night holding the enema ...Read more

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Using colocort enema every 3 days to control inflammation from colitis in addition to asacol (mesalamine) daily. Is long time usage of colocort bad? No problem yet

Using colocort enema every 3 days to control inflammation from colitis in addition to asacol (mesalamine) daily. Is long time usage of colocort bad? No problem yet

Maybe: Colocort is a steroid medication. Although you are using it in limited fashion and in a topical form, there is still systemic absorption and, over time, steroid side effects can occur (bone loss, glucose intolerance, hip problems, cataracts, etc). Best to discuss your concerns with your provider to see if Mesalamine enemas would help or if you need a different steroid sparing medication. ...Read more

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Doctor prescribed me mesalamine enema for hemorroids today. Will the enema or mesalamine suppositories work better?

Doctor prescribed me mesalamine enema for hemorroids today. Will the enema or mesalamine suppositories work better?

Not sure: mesalamine enemas are used for colitis that extends up to the second half the colon, while mesalamine suppositories are used for colitis of the rectum (proctitis). I do not use mesalamine for hemorrhoids.. so you may want to double check on this with your doctor. ...Read more

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Suffer from rectal ulcer with sessile polyp, I have continuos bloody mucous bleeding with constipation, am on pentasa (mesalamine) what to do else?

Suffer from rectal ulcer with sessile polyp, I have continuos bloody mucous bleeding with constipation, am on pentasa (mesalamine) what to do else?

Rectal Ulcer: You are on Mesalamine for uc? Of course, the bleeding and mucus is likely associated with active ulcerative colitis. A large sessile polyp, if it is a true polyp and not a uc pseudo polyp, can secrete mucus itself. It sounds to me that your ulcerative colitis is still not under control. Having said that, the rectal ulcer is likely associated also with your active disease. Get a 2nd opinion. ...Read more