Considering your flares get worse, it could mean your maintenance might not be enough.
I would suggest you start using the retention enemas (5-ASA) for treatment now and then taper to a maintenance. With the rectum dealt with fairly quickly, hopefully your flares won't be as severe.
In saying all the above...were you on the Canasa nightly?
Explain how your flares have gotten worse at this time from the first day you thought you were starting to flare again.
*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 !!!