pancolitis......the rectum and all above will be affected...you're already on asacol which will NOT fully treat the rectum or even the sigmoid. Rectal meds deal with that end (consider that's where it starts) ...they are not meant to treat the whole colon...it's not even a point of support for not using them.
Many doctors have an aversion to rectal meds possibly and therefore assume their patients my as well I suppose. I've used rectal meds in conjunction with oral....5ASA only....for over 19 years. I must conclude that they work because I've never been as bad as when I was diagnosed. Many ups and downs during the first two years, but by the third year I had the rectal meds increase during flare and tapering to maintenance down to a fine juggling act.
Request Rowasa (I'm assuming you're in the US)....it's a retention 5ASA enema to be inserted nightly for however long you need until your symptoms stop...then you'd start tapering (we can help you with that).
Please do your homework and read information regarding meds for UC. Try the rectal 5ASA enemas. They do take longer to work. If you are using them and they're not fast enough, you might consider to ask the doc for a steroid foam enema in the morning and the 5ASA retention enema at night.
I hope you can find some resolve regarding meds.
keep us posted,
*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 !!!