Hi Lawrence,

I have used both Anusol & Canasa suppositories. I have found them uncomfortable to insert, needing to use a lubricant to be successful. Once inserted that feeling subsides.

Best of luck to you!

Mrs. P

Hi Lawrence,

I have not used suppositories with my pouch but used them often when I had a rectum.  They burned for me a little while, but it was bearable.  I have used enemas with my pouch and had not problem.  If you don’t mind me asking, what are the suppositories treating in the pouch?

I take daily canasa suppositories and have in the past used anusol.

I the beginning I remember them being  somewhat painful, butt 😬 only for a short while.

now a days, there is a slight burning upon insertion for a about 10 seconds.

in fact, I just took one, and yes slight burning sensation.

I'm curious what the various suppositories mentioned here treat?  I used to take sulfasalazine for my UC and it worked fine.  It seems there is a similar medication for cuffitis (which I wonder if I have sometimes) and maybe even for pouchitis (which I definitely have sometimes).  It seems different forms of some of these can be administered through either end of the alimentary canal.  I want to know more. 

I took canasa (1000mg mesalamine suppositories) for my ulcerative proctitis in my rectum.

since the ibd has decided to attack my 2 cm rectal cuff, it’s canasa again to treat the “cuffititis”.

I have also taken anusol hd suppositories for the cuff inflammation.

I am trying to prevent a repeat of dysplasia caused by long term inflammation.

that dysplasia was the reason for my colectomy, and I do not want to have to make a difficult surgical decision in the future.

I think mesalamine is the one that is related to sulfasalazine.  I wonder if that would help when I get some inflammation in that area?  I don't want the dysplasia either! 

Dr Google tells me that sulfasalazine contains mesalamine. I am not a pharmacist so don’t take my word for it, however Canasa suppositories have my cuffititis symptoms in remission for 8 months now and my fecal cal protectin tests continues to get lower numbers.

I will know for sure when i have my next pouchoscopy siometime in the next few months.

Do people get pouchoscopies only because there is a problem, or do they just get routine ones to check how things are going, like a colonoscopy?  I have never gotten a pouchoscopy and I have had the pouch for 18 years. 

Many folks get routine pouchoscopies, often yearly. If there are no symptoms the key reason would be to screen for dysplasia or cancer in the rectal cuff. This is a particular concern if the original colectomy was done for dysplasia, cancer, or FAP. I don’t get pouchoscopies very often, but it’s a pretty easy and quick procedure with (generally) a pretty easy prep.

Ok, well that sounds like a good idea since I had colon cancer, but it was never recommended to me for that!  Anyone know of a J-pouch specialist in TX? 

The risks also depend on whether you had a stapled procedure, which leaves in a rectal cuff that can occasionally become malignant, versus a hand-sewn procedure, which sometimes removes essentially the entire rectal cuff.

I have no idea what they did!  It was 2004.  If they told me anything about it, it was while I was super drugged up from the drugs they gave me, so there would be no way I would remember.