Well, I hadn't bled with a flare for over 14 years until last year when I decided to totally stop my estrogen patch....I was a tad shocked.
I've used the oral and rectal 5ASA meds for over 19 years....so, yes, they work.
There are different kinds of rectal meds...suppositories, retention enemas (both in steroid and 5ASA medications), and a foam which is in a steroid medication.
Your doc's aversion shouldn't be telling you what to do....especially if he's never offered them or you've never tried them.
At least he didn't put you on prednisone firstly....or did he?
Consider that UC starts at the rectum. If it's not dealt with, no matter how many oral meds (not including pred) you take, it'll NEVER be enough to touch the rectum. It also doesn't matter how high the inflammation is...beit limited to the rectum or pancolitis....the distal part of the colon should be dealt with rectally.
You administer them yourself....yes, it takes a while to get used to doing them because a pill is definitely easier.
They're taken nightly (enemas) and retained,,hopefully...overnight. As the rectum heals, the urgency to expel lessens and the longer one is able to retain them. The retention enemas (as well as the foam) will go as high as or even a bit beyond the sigmoid...which is a good thing.
Suppositories are an option, but I see them more for maintenance (personal perspective)...they can be used up to 3 times a day.
Do the homework, and request them....try them yourself.
As the inflammation lessens, the stools do tend to firm up and frequency is less.
Some who are on Colazal find that 9 daily can give them looser stools.
Have you considered to add a fibre supplement or probiotic?
*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 !!!