Yes, it could be a fissure, but if it were, blood would be for sure on the toilet paper.
If you're tapering the enemas, use a suppository on the nights you're not using them.
You may want to get back to business regarding having a baby, but really...I'll suspect you'll need the rectal meds.
How long were you on the enemas?....I suggest actually that you should stay on them nightly until you're off the pred....then taper them.
Stay on them every second night, use Canasa for the between nights and stay there until you're off the pred.
Regarding the pred tapering...at the lower dosages that seem difficult to do...stagger the taper...10, 5, 10, 5, 10, 5...5...
Try not to be too impatient at this time, for you will flare again. Take this as a learning process...
In any event...it all sucks...for that I can attest.
*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 !!!