I don't have to have a nighttime BM but the directions for Rowasa enemas are clear saying to have a BM before use and I guess it's to help get the meds better distributed and also prevent the urge to go right after using it.
I was up to 12 Asacol per day and still flairing then my GI then put me on Rowasa which stopped the bleeding and D in just one day! (the Rowasa isa blessing for me ) I was initially told to use the Rowasa every day for a month then every other day for the next month and now (the 3rd month) twice a week and that's when this problem began.
I'm thinking as is my Pharmacist, that I need to go back to using the Rowasa every other day, as when I did I did not have this issue and I may be having some additional inflammation since cutting down to twice a week which is allowing my sphincter to remain irratated after a BM and is preventing the liquid from going in and causing a very uncomfortable feeling.
With respect to the dermatitis (around the anus), this was something the GI thought could be causing the problem but it was over the phone so he was just guessing; he also told me to cut the Rowasa down to once a week, but I think the reduction of the Roawas is not good for me; as I mentioned it has been a lifesaver.
I am having no other symptoms except for right after a BM I can feel my sphincter muscle not settling down for 3-4 of hours...nothing to bad at all but if I went to use the enema it would make it very difficult if not impossible. I have very well shaped stool except for may be the very tail end of a BM where they get very soft but still formed, and no blood or very little or no pain.
I also take fish oils, extra calcium, Bowel Soother from RenewLife, eat very low fat w/ no dairy and avoid high fiber. Aside for the UC, I am in good health and keep in shape.
Thanks and I look forward to your thoughts