Stanley’s allergy tests identified a list of food, insect, and inhalant al lergens, including chicken, carrots, rice, grains, fleas and flea saliva, cats and cat dander, mold, grasses, and trees. Schaff eliminated what allergens she could and used topical medications and the corticosteroid Prednisone to treat Stanley’s remaining symptoms. The topicals did not work, and the pharmaceuticals gave the dog polyuria/polydipsia (PU/ PD), a condition causing excessive thirst and passage of large volumes of urine. Added to his misery of itchy raw spots, weepy lesions, and a stinky, gooey coat, poor Stanley was now having frequent and unavoid able accidents.
Most modern steroid enemas are foam based - as the likelihood of someone with colitis being able to retain a water based enema is quite low. These act topically applying the steroid directly to the colon - with only small amounts being absorbed into the bloodstream. This makes side effects less likely. The downside is that they can only reach the descending colon and rectum - so for those with extensive colitis oral steroids may be needed. A combination of Entocort and steroid enemas can provide topical treatment to the majority of the colon - again minimizing side effects. As the two main steroid enemas differ quite greatly I will cover them separately.