u/Apprehensive-Cat7552

Budesonide foam - quick question

I am currently using budesonide rectal foam in addition to my maintenance 4.8gm oral mesalamine to manage a mild flare. My question is: does anybody else experience slight burning right after dispensing the foam? Does not happen every time, and seems worse if there is some overflow of the foam itself so more external tissue contact. Thanks - looking to reassure myself that this is normal.

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u/Apprehensive-Cat7552 — 2 days ago

Does anyone have experience using Citrucel over Metamucil? I’m not clear on how they are different, but that’s what my doc recommended. If you have, did it help? Did you use it consistently or as needed? I have proctitis and a patch of active disease in the sigmoid colon. Started mesalamine enemas but they seem to produce constipation (I guess). I feel like I’m ping-ponging from one end of the spectrum to the other. TIA.

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u/Apprehensive-Cat7552 — 7 days ago

Hi, all. I've just found this subreddit. I've had UC for about 10 years and have been in remission/well-managed with only oral messalamine, plus about 2 bouts with rectal budesonide foam or suppositories for flares (both short). I know I'm lucky! My symptoms have increased over the last six months or so, and a colonoscopy two weeks ago shows moderate disease activity in the left descending and sigmoid colon. My doc added mesalamine enemas. I was really bummed, but obviously I'll try to do what it takes. I've been trying for about 10 days. Initially, I could get the liquid in, no leaks, and hold overnight - although it always seemed impossible to actually empty the medication container fully. Then I had a few nights of leaking, but could still retain. One night of voiding after only a little while. I figure that just happens? It seems to be getting harder and harder to get the liquid in. I'm squeezing that bottle so hard my arm cramps. When I take it out and try to dispense the liquid, it's initially very difficult and then comes out with significant force (which I'm guessing causes the leaks). I lay on my left side, right leg bent, and I shake/warm the bottle. Anybody else having this much trouble or have any tips? The way my UC works means there is no pooping immediately before treatment - I just can't do that at will. So I'm wondering if it is related to poop in the colon? It's destroying my sleep. Thank you all for any guidance (and moral support).

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u/Apprehensive-Cat7552 — 15 days ago