Hi braille....the c-scope plus the clean-out could have caused you more inflammation...just what you DIDN'T need...yeeeeeeeeowwwwww!!!!!
This is what I'd do if I had the meds you have at this time. Uwe the foam at night and the Canasa at least twice during the day...better yet, maybe you could ask for him to prescribe a 5ASA retention enema for the night and the cortifoam for the day. You have a ways to go yet before you need to think about maintenance.
Don't worry too much about the patchy inflammation at this time or what it means...if it's all limited to the rectum, you definitely need rectal meds. Hopefully, the doc will have more definitive results when you see him next week.
The constipation and the skinny stools means inflammation (which you can attest to).
You need to eat, dont stop...once the inflammation is down, it'll be better. The worst thing about rectal inflammation vs higher up is that it produces a more solid stool....agony to pass through an inflamed butt!
I have a suggestion when you insert the nozzle of the foam/enema. make sure you have some lubrication (KY). Insert it a bit and start squeezing the dosage while pushing it farther up, then draw it down toward withdrawing it and keep squeezing, then in a bit more till you have no more med left do insert. That will help distribute the med to the lower part of the rectum as well as higher. Sit or lay on your back or right side rather than on the left side.
You could also try to use a soothing cream on the anus such as zinc cream...
Your Asacol is too low...even if you increase it to 6 daily...3 taken twice a day.
Definitely ask the doc for dicyclomine or whatever antispasmodic he deems worthy.
Hang tough...use the meds you have to your advantage..both 5ASA and the steroid until the doc (hopefully) gives you a retention enema of 5ASA.