Hi...definitely do the rectal meds and you should never wait till you see the bleeding as a sign of a flare.
The doc will probably want you back on prednisone, you could hold off on that and suggest to him you want to try the rectal meds for a while instead of the pred.
My thoughts on pred...it's an easy solution with long term headaches as far as getting things controlled while trying to get off it. UC starts at the rectum, and really you should have been on rectal meds while tapering the pred and continuing afterward with that as your treatment and maintenance meds (in conjunction with the oral 5ASA).
Go back on the rectal meds...use them faithfully and make sure you get enough refills.
*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 !!!