Definitely add the enemas. There is Colocort (liquid steroid) enema or Cortifoam (foam steroid) enema. The Colocorts caused me more diarhea but the Cortifoam was great. And much easier to retain than the liquid enemas. Also - do you take all your Colazal at one time? Ideally Colazal should be split into 3 even doses throughout the day to make sure the amount of medication is maintained throughout the day. If you are on 9 that should be 3 pills 3 times a day - not just morning and night.