Due to a wide range of media coverage and large scale steroid scandals fans and experts have continued to bring the games integrity into question. Major League Baseball is a game of statistics. The entirety of a player's career is based upon the consistency and credibility of the numbers and accolades acquired during the period in which they played. "Their real impact has been at the margins: There are certainly some scrubs who wouldn't be in the majors without the juice, and we have ample evidence that at the other end of the scale, drugs can take Hall of Famers and all-time greats and help them perform at historically unprecedented levels" (La-Times). When it comes to this topic generally there are two trains of thought. Many do not see the harm with this type of substance use because it makes the game more exciting and allows athletes to reach untested potentials. On the other side of the argument many fans and experts believe the game has lost its purity because of this drug use. More recently an issue has arose with high-caliber players who have tested positive for performance-enhancing drugs are not being voted for on a hall of fame ballot. This fact has brought many to question the game's integrity. No matter the statistics and achievements produced by the certain player prior to drug use, a positive test for steroids has shown to discredit the athletes integrity and career entirely.
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.