bbc...I agree with trying the supp in the morning and the enema at night.
The oral meds should take care of above the rectum....considering you're on the max of Pentasa. If you believe you're improving...then you are.
Since you were diagnosed in '07, you should have another scope this year to see how you have improved and to take lots of biopsies for a good base-line regarding wonky cells.
After that..if all the biopsies come back unremarkable regarding precancer..etc, you shouldn't need one until another 2 - 5 years.
I had two the first year (diagnosis then a year later), then one every 3 years.
I've used meds since diagnosis, and the worst flares were in the first year. The second year, the enema tapering varied and eventually by the third year I totally got the hang of using the enemas earlier and earlier.
Since I have PSC as well...I MUST keep my colon in as nice a neutral state as possible for as long as possible. I still have small flares about
once to twice a year...depending on what all is going on in my life.
Christmas isn't good or early spring. Stressful times for me.
Let me know about
what the doc says regarding using the supps.
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux); Effexor XR 75mg(depression); 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 !!!