Yes, they can contribute to exacerbated symptoms and there are some patients who cannot take them at all.
I do believe that pred somehow kiboshes the use of 5ASA meds. How many Asacol are you taking?
Could you possibly try to take half a bottle rather than a full one?
Have you tried the suppositories in the past before going on the Rowasa?
The next possibility is for you to try the steroid enemas..in foam form because they'll be easier to retain.
Definitely call the doc and tell him you have better days after not using the Rowasa and you'd like to try another option soon because although you have side effects that cause you much discomfort....the bleeding is much less.
One step forward and two back isn't that positive for you. You've definitely given it a good go....congratulations for sticking with it.
It's possible the dosage is too much.....oh, they do come in 2gram dosages....and there is metabisulfite in them for preservative...if you're sensitive to sulfites, you could very well be to the enemas.
Regarding diet...maybe look into the SCD rather than your own low residue diet....it's at least more rounded with proper nutrition.
Let us know what happens.
*Heather*Status: mini flare Dec 28... tapered to every 3rd 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 !!!