Fish oil doesn't agree with everyone..they don't agree with me it seems as well but it could have been the product itself. It won't do any harm to cut them out completely for at least a week. The reason I say this is that for some, they increase circulation. An anus.rectum with severe inflammation could have just a bit too much circulation.
I think the inflammation is lower than you believe....maybe just squirt in a bit right at the anus and then push the applicator in a bit and put the rest...or...just use half the amount, but don't push the applicator all the way in to keep it at the lower point. It'll still go higher if you're doing it while laying down.
Have you tried doing any sitz baths? Maybe just to relax the butt a bit? Not hot water, however...just warm. Not after you use the meds either..lol!
I would consider to take 10 days - 2 week tapering course of pred if the ctal meds weren't working. I'd have to think long and hard if it were to be longer, but it would have to be fast taper.
Have you had stool samples and swabs done to make sure nothing else is going on?
What were you taking for antispasmodic...? and are you still taking it?
I sure hope you get relief soon....that's definitely the worst symptom for me...like wretching from my butt...horrible.
*Heather*Status: mini flare Dec 28... tapered to every second night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!