I can understand you wanting to feel better soon since you're going on vacation.....it could be just what you need since so many report feeling pretty darned good while on holidays...hope that holds true for you.
Were you tapered to a maintenanced dosage of the enemas or had you stopped them completely before having more severe symptoms?
I wouldn't stop the enemas, just use one nightly....even a half as some have done if they can't hold them in (use the other half the next night)...or use Canasa supps until you've improved a bit till you can hold them in.
One thing that you could try is start squeezing a bit as you just insert the nozzle to get the med at the start of the rectum, push it in while squeezing the med and withdraw a bit to just inside the anus...it'll concentrate the med better in that area.
How long will you be on the pred...what dosage? will you be tapering it?
I don't have experience with it since the 5ASA asacol and Salofalk enemas tapered and increased have been working well.
Hope you feel better soon.
*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 !!!