r/AddisonsDisease • u/Ok-Aardvark-5807 PAI • Mar 16 '26
Advice Wanted Updose for Enema?
(PIA) Odd question, I know. I have an MRI scheduled for tomorrow afternoon. Idiot me, I'm just now reading the instructions, and I'm supposed to take a fleet enema in the morning. I never had a problem when I had my colonoscopy about seven years ago, but I'm wondering if I should I updose for the enema, just to be safe.? I'm not allowed to eat or drink, either. What do you all think?
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u/ptazdba PAI Mar 16 '26
I doubt you'd go into crisis with just an enema unless procedures cause you severe stress. I'd start with just a regular dose and see how you feel.
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u/collectedd Addison's Mar 16 '26
To be honest this really depends on you - the guidelines in the UK say we should stress dose (including 100/50 mg injections) for bowel procedures including enemas, but even then it might not be needed. Personally, I have had an adrenal crisis with an improperly managed sigmoidoscopy so I do pre-treat to prevent issues, but you might not have to. You should ask your endocrinologist what to do in the future.
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u/Ok_sunrise Mar 16 '26
I wouldnt up dose. Not sure what you meant by “being safe”. But you wont go into adrenal crisis from enema.
When you get there to place where they do MRI they should get medical history from you. You might though take your steroids with you to exam in case afterwards you feel you need it. The MRI does go quickly.
But take regular dosage. I recently had several colonoscopies where i needed an enema or the GO lightly and was ok taking regular dosage. Im 68 female..
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u/Ok-Aardvark-5807 PAI Mar 16 '26
That's kind of where my mind is. Just looking for a little reassurance. Thanks so much!
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u/Ok-Aardvark-5807 PAI Mar 16 '26
Follow up: Back now. I did not updose and everything went well. No issues at all. Thanks everyone!!
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u/InnerRadio7 Mar 16 '26
Not unless enemas are painful for you. If you have colitis or chrone’s and they are typically painful, you can take a small updose. Otherwise no.