Hi..ditto hedgehog (that used to be my nickname when I had very short red hair..lol!)
If you're not wanting or can't be on 5ASA meds, then consider the topical steroids Entocort and suppositories.
You have to deal with the cecum...for if you don't, the rectal inflammation will still give you grief.
If you have left-sided (up to the splenic flexure??)...there's a new steroid topical that's just being introduced that will be released in the colon as well as the terminal ileum.
You do have some options. Remember that the topical steroids will have some symptoms, but not as much as systemic.
Worth a try, methinks.
*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 !!!