Quincy, I think patient behavior patterns play a part in the doc's choice of meds. Those of us with IBD are notorious, statistically, for not taking our meds. Heck, you can see that just by browsing this forum. Since they know most people are even more averse to rectal meds than oral meds, I think they try to give the medicine in the form most likely to actually be used.
Definitely true, but we do see many patients whose doctors haven't even suggested them, because their assumption is that they probably won't use them (which many wouldn't anyway). My doc is still surprised at my faithfulness to them....the payoff is huge for me. I wish everyone had that success.
Ignorance is bliss...what did I know 19 years ago?
*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 !!!