Hi..welcome to the forum!
Yes, it would mean rectal inflammation....
You'll have urgency, but with different symptoms as when the whole colon or above the rectum inflamed. What other symptoms are you having and how often are you going?
If you're going less, the blood will probably be pooled blood as wit's end suggested. It could be a hemorrhoid as well...but I'd lean more towards the pooled blood because I've experienced it myself.
The rectum is the hardest to heal because of what it goes through expelling bms when the tissue is so fragile.
Are you on the 4g Salofalk or the 2g? 60 ml is the amount of liquid in the enema.
When you're using the enema....just put the tip in and push it in a teeny bit, start to squeeze out the med and then withdraw the tip just to the edge of the anus (but not out or it'll squirt ou..ugh)...that will get a concentration to the most stubborn area initially. Then as you continue squeezing, push the nozzle completely in and finish administering the rest of the med.
Lay on your back or sit up a bit rather than on your left side...
You could try every second night....but if your symptoms increase, just go back to nightly. Try the method I suggested for at least a week nightly and then go every second night.
It's OK to experiment because you'll have the option to increase. I tried fast tapers, slow tapers and realllllly slow tapers. It's not an all or nothing thing, so don't feel you'll compromise yourself by decreasing the Salofalk. As long as you have refills and get the OK from the doc to experiment...that'll lessen a lot of stress about
the process. As well, it gives you the independence and some control to deal earlier and earlier with future flares. I can't say enough about
the enemas as treatment and for maintenance.
*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 !!!