You would best encourage your doc to give you rectal meds when you start flaring....truly. Your doc is wrong in saying you don't "need" them.
Food intake, quantity and quality, can increase bms. Digestive enzymes and probiotics will help the digestion process...which is a good thing.
I have heard from some health gurus that 3 is the optimum # bms. I have them sometimes depending on what I eat.
You have to allow your cognitive brain to kick in and look back to at least 2 days of what you eat and the consistency of the bms.
When I get many bms and wipe well (plus a butt wash)..I do rip
open my fissure. When I push...yes I do....the external hemmie flares a bit...so, both can leave me with some butt feelings that can play with my mind a bit. External or internal butt meds...be them proctocedyl or steroid cream helps a lot.
Deal with any inflammation quickly...
*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 !!!