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?
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?
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.
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 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.
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?
This all occurred after starting a 30 day course of Canasa (Mesalamine) to which I had rash and breathing problems in what seems to have been an allergic reaction and possibly triggered the above problems.
I am now on Claritin (10mg), Lexapro (5mg) and Aciphex which together brought relief to stomach pain within hours.
Cardiologist sees no Eosinophilic infiltration or Loeffler’s.
Repeated Endoscopies show no problems. I am negative for Eosinophilic Gastroenteritis.
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.
I have Crohn's also. I'm pregnant with my second child and have not had a problem either time. However, my doctors did tell me that if you're Crohn's is under control when you get pregnant, it's likely that your condition will stay the same or get better during pregnancy. If you're having a flare up or the disease is not controlled well when you get pregnant it will likely get worse.
In terms of medication I would trust your doctors here.
If it is not effective, then other medications like steroids, mesalamine and bismuth subsalicylate may be tried.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
07-2007 - to help fight off inflammation. I've read that prescription drugs were often safe, way beyond the expiration date. Don't have much of it left though.
So without going through the 'hassle' of getting an appointment, trying to get treatment, etc. is there something I can do on my own?
Thank you.
the doctor at the time told me that it was the same thing as asacol, however, i found it to be less effective. another doctor later told me that they have the same active ingredient mesalamine, but pentasa reaches a different part of your track... i think asacol stays intact longer, so it gets released lower down in your system.
anyway, i think either of the 2 drugs are mainly for maintenance like the others said.
t working together properly, either. So in addition to the vestibular therapy, I had therapy for Convergence Insufficiency. When an object was within a certain distance from my face, my eyes wouldn't work together to keep the object in focus.
There are other issues related to convergence where the eyes don't work well together.
Good luck to you. That's great that you'll have an eye exam with someone experienced with head injuries. Let us know what you learn...
went to therapy - alot came out about mymom death when I was young. I just wasn't sure about how much I have repressed. MY WHOLE LIFE IS REPRESSED. I journaled this morning and it came to mind with a major cry fit..that as a child, I did everything I could-for 5 long years up to the age of 14 to make it all ok. But then she died. It just hit me this late in life that I couldn't fix that or protect it in anyway. Has anyone ever been in this type of a position?
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