Back in April I had a flare with bloody diarrhea. Had sigmoidoscopy which showed inflammation in rectum sigmoid and descending colon. Had therapy with 3.6g 5-ASA daily. Blood stopped in day 2. Had a complete colonoscopy with intubation of the terminal ileum in July and everything was normal except a mild proctitis. If it was Crohn's disease, would my terminal ileum or cecum appear fine with 5-asa therapy?
During moderate/sever flare-ups I took prednisone orally, in foam suppository as well as mesalamine orally and through suppository. In moderate flare-ups mesalamine orally w/ mesalamine suppositories.
My question is - beyond the general risk that HSV presents - how additionally risky is this for me? It is a possibility that at some point I will have a flare-up that will require immonusuppressive therapy. If I was to contract HSV could my UC symptoms become more severe?
Hi Nicky.
I'm sorry about your recent U.C. diagnosis.
According to the mfg:
"The dosage of Mesalamine 500 mg suppositories (Generic Canasa) is one rectal suppository once daily at bedtime.
The suppository should remain inserted for one to three hours or longer, if possible. The normal course of therapy is from three to six weeks depending on symptoms and sigmoidoscopic findings".
So the 30 day supply falls within the recommended duration.
Which do you have - ulcerative colitis or crohn's? It is important to treat it so it doesn't get bad. I had ulcerative colitis for 10 years before my bowel perforated and I had surgery to remove it and then had an ileal pouch built. My son has severe ulcerative colitis but it is in remission with Imuran. You need to see a different GI doctor.
Her gastroenterologist started her on Mesalamine (4 capsules daily) and later added prednisone 100 mg enemas to try and get the flare-up under control. Things are getting better and she has some of her strength back. There is one puzzling thing that the doctors are not able to pinpoint. This is an intermittent fever that starts in the afternoon and lasts to the night. In the morning the temperature is back to a low 97 degrees fahrenheit and stays stable until afternoon below 98 degrees.
In 1987 I was dx with a carcinoid tumor of the appendix that transversed the wall with cancer cells found in lower colon. I had a hemi-colectomy with a small intestine resection. In 1990 I was dx with Crohn's Disease. In 2004 I began to have neurological sx. I was originally dx with CIDP, but when a lesion was found on my cervical spine dx changed to possible MS. No further MS criteria has been establishe
d. I still deal with nerve and muscle pain.
My recent result of biopsy after the colonoscopy indicates epithelial dysplasia. My doctor just advice me to continue taking the mesalamine (Asacol) Do i need an another urgent medication/treatment for dysplasia? What should be my next move?
I have read about a study in which Boswellia was used in conjunction with Mesalamine. My gastroenterologist knows notheing about herbs, but is open to information that I can give her. What is available? Are there any interactions with boswellia and mesalamine that I should be cautious about? Are there any precastions about its use?
Hi, I am 23 years old and am currently in a flare up that started back in November 2009. I have tried Mesalamine, Prednisone, 6MP, Remicade, and am currently taking Humira and Methotrexate once a week. I feel like my life has been taken away from me. I was studying abroad for a master's degree when the flare up set in and decided to fly home to my parents to get proper health care and support.
Hi there,
I was diagnosed with sigmoidal colitis in 2005, but I reckon that it went unchecked for about 4 years prior to that. I was initially treated with mesalamine (Asacol) but it had no effect. My GI guy then hit me with prednisone and that knocked it down. I have been on Asacol in a prophylactic capacity since (800mg tid). Does it keep me in remission. Maybe, but maybe it is the tremendous quantities of fentanyl, diacetylmorphine and morphine I abused as well for all I know :P.
What other symptoms are present? Mesalamine or Canasa suppositories works by preventing the production of substances that cause the inflammation of the colon. The usual side effects include diarrhea; dizziness; gas; hair loss; headache; mild stomach discomfort or pain; and nausea. The sour taste could be indirectly related especially if you have other gastrointestinal issues like acid peptic disease or gerd.
There have been a few cases of liver failure possibly related to the use of mesalamine (the active ingredient in Asacol HD), but I haven't read anything about fatty liver as a side effect.
A fatty liver, it takes between 6 months and 2 years to fully reverse. Dr Sandra Cabot's article "Fatty Liver - What Is Fatty Liver And How To Reverse It?
Hey girl, I answered this in another forum, but will do so again.
Given the forum, let me first off state that I am NOT a pharmacist. I never studied pharmacology in uni. I am a computer programmer with an avid interest in organic chemistry and pharmacology. I am also a junkie who has been through WD loads of times. That being said...
Go back to your pain doctor. The man is, as most MDs are, an idiot.
My daughter is in her 50's and has had Crohn's most of her life. Surgeries resulted in her losing feet of intestines. My question is this...It's possible to replace many parts in the human body, hearts, liver, lungs, skin etc...so why can't the intestine be replaced?
Ok, I am 29 years old, and have always had problems with my bowels. But, the last year or so, things have gotten really bad. I will go for 1-2 weeks being coonstipated, then have bloody diarrhea for 2-3 days, then go back to being constipated. I had a colonoscopy the 1st of this month, and was supposed to go back in and get my hemerroids banded on the 7th.
The periods of remission can last from weeks to years."
***
Springer - Mimics of Ulcerative Colitis...
"Infectious colitides such as Clostridia difficile, hemorrhagic E. coli, Campylobacter, Aeromonas, and Salmonellosis can often present as severe ulcerative colitis. Other infectious pathogens, which also need to be included in the differential diagnoses, include Amebiasis, Shigellosis, Cytomegalovirus, and Rotavirus.
Hi,
welcome to the Crohn's Community Forum.
I have had Crohn's for 40 yrs, dx when I was 24 yrs old. Cortisone IS used to treat Crohn's, but now only for short periods, say 3-4 months, because of the side effects of long term use. If the Crohn's is in the terminal ileum area and/or first part of the colon, a newer steroid, Entocort can be used, which does not have the debilitating, and embarrassing, side effects that prednisolone and prednisone do.
I have Crohn's Disease and I have been having alot of lower back pain. I went to the doctor and had a UTI, so they gave me antibiotics. I have had 3 different antibioitcs and am still hurting in my back. I went back and did another urin screening and everything was perfect. I had them to do a cbc and it was normal also, but I'm still having the back pain. They are referring me back to my crohn's doctor and setting up a CT Scan to check everything out.
I have Crohn's Disease for over 20 years now. Recently, I found out I have many Gall Stones and is causing a lots of pain. My general doctor suggest the removal of the Gallbladder but I'm concern about without it will make my Crohn's worse. Wouldn't just removing the stones better then without Gallbladder?
My 18 year old daughter has been recentely diagnosed with Crohn's. Since her diagnosis, she's had two episodes of severe vomiting in a month. She has rarely vomited in her lifetime. Both times she had large servings of dairy- mozzarella sticks and cottage cheese. She's loved both in the past and had no issues. Could there be a link between Crohn's, vomiting and dairy or just a strange coinsidence?
For the past 3 years, I have been getting recurrent canker sores. They would apprear twice a month. They disappeared only when I was in my secong and third trimester of pregnancy. I did various tests and a colonoscopy to rule out Crohn's disease. I also did the ASCA and ANCA blood tests. My colonsocopy was normal. ANCA was negative but ASCA was positive. I dont have the classic symptoms of Crohn's (diarrhea).
is a positive ASCA an indicator of Crohn's?
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