Try not to make too much out of a simple thing that many/most of us ignore. Low in the rectum inflammation acts differently than when it's higher. Remember, UC starts at the rectum and inflammation will travel upward, no matter how high YOUR UC is.
Meaning......your flare will start in the rectum, symptoms will be slight and certainly not as obvious as diarrhea, bleeding, etc (already when the inflammation is higher in the rectum and beyond). Early flare symptoms include constipation, gassssss that seems to explode in the rectum, rectal pain upon bms or afterward, nausea, stomach discomfort, headaches (for those who get them)...etc.
....so, here I go again...
start rectal meds and taper them to a maintenance.
Dicyclomine is an antispasmodic that will help with some of the discomfort symptoms....
It all may be the nature of the disease, but knowledge is power. It enables you to SEE the symptoms and act on them as early as possible.
One might have hemorroids, could be two issues or maybe hemmies can contribute to inflammation.
Dealing with early symptoms can help prevent the inflammation from getting worse....confining flares to just the rectum (hopefully).
In saying all that, not all meds work for everyone....not all patients want to use rectal meds. SEems a small price to pay, however, for long-term gain.
*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 !!!