Usually the rectal meds are the most effective. Starting them while you're on pred will hopefully work well for you. The pred should decrease the irritability of the rectal area, allowing the rectal meds to work their magic and keep the inflammation from coming back.
I'm unable to tolerate steroids or mesalamine, so rectal drugs are not an option for me. I found it helpful to lie down on my side with my knees bent for a while when the pressure became painful.
Judy - Southern US
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from Entocort.
Colazal, Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.