I would say you're in a perpetual flare and because you sporatically treat with canasa supps, it's just barely keeping some of the symptoms at bay. Remember, bleeding doesn't only mean flaring. Your symptoms, if low in the rectum, will give you less obvious symptoms than if higher in the rectum and above.
You really would be better off to stay on the Canasa for at least a few weeks...maybe even twice a day and then start to taper.
Regarding stress and flares....I do find that when on maintenance meds...if my stress/anxiety levels are of a deep disturbing and helpless nature...I might start to experience some symptoms (but I do also have IBS...). But, it wouldn't mean I wouldn't see them without the stressful situation....I just might ignore it more when distressed than when I'm not. Sometimes the adrenaline bursts will mask symptoms or keep them at bay somewhat....I tend to have the symptoms in the calm after the storm rather than during.
I would suggest you find more consistency in treating your symptoms and taper to actual maintenance rather than sporatic use of the Canasa.
*Heather*Status: mini flare Dec 28... tapered to every 4th 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 ....zymactive 3 - 5x 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 !!!