Fitzy, it seems to me that it has to do as much as my attitude toward the event in the first place, and all the energy I work up worrying or dreading it. After last night, I think it's worth as much of my time working on the the stress part as it is the concoction of meds I'm working with. But it's so easy to get lost in the symptoms that I forget to remember to look for easier ways to deal with the stress.
I really didn't need to go last night and even if I did, I could have let someone else do all the talking. Next time something like this comes up, that's what I would do.
Quincy, I was using the Rowasa nightly when this flare began, about the beginning of August. If you remember, I was trying to cut down on Asacol, although I went right back up to the previous dosage within a couple of days. So essentially I was getting more mesalamine, with 9 asacol/day plus the Rowasa. Still the flare came on, with bleeding 3 or more times a day.
I talked to my new NP then and decided to go with the cortenema (generic) twice a day rather than to go on Prednisone. Within a couple of days I'd say the flare was about 50% better, no blood but still lots of D. A couple of weeks ago I added the Rowasa back in every other day and for about a week I've been using the cortenema just nightly. The two instances of blood haven't freaked me out yet but they will if I have lots more. As of tonight I'm going to Rowasa one night Cortenema the next. That's the plan but it could change.
In terms of flares, for me it's not black and white. I've had too many freakin' symptoms that change from one day to the next. Sores in my mouth, thrush, burning under my right ribs, headaches, watery no consistency D for days then some solid UCish stuff... oh and then there's my hair which went through some weird shredding resulting in little hairs sticking up all over my head now. And lately head aches, which could be from lomotil, asacol, or too much thinking!
This is one weird disease, and I'd bet most of us agree.
Potato... Female, 58, dx mild left sided ulcerative colitis 11/07
asacol 3 3x a day
am & pm Rowasa every other day
culturelle, benefiber wafers generic acidophilus, metamucil wafers
children's vitamin, Vitamin E 400 mg
omeprazole 2x a day
oxazepam when needed, lomotil or ImodiumAD (but not in the same day)