Are you not using the rowasa at this time? You should try both the Rowasa nightly for at least a few weeks and the 12 Asacol.
Really...You should give it a fair try before resorting to the pred.
The other option is to use the steroid enemas if you've had absolutely no improvement after a few weeks.
Eat as normally as possible.....eat often and make sure you get enough protein.
Hormonal ups and downs from pregnancy and breastfeeding could definitely have your flare going wonky...I don't see (at this time) that adding another hormone will help...but I'm pretty much biased about
pred if you haven't given the 5ASA a good try.
The enemas aren't meant to reach higher in the colon...but they will deal with the entire sigmoid. The asacol takes care of the rest.
Treat both ends!
*Heather* Status..Asacol 6 (3 twice daily); enemas every 5th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate)....1 each @ bedtime
~various digestive enzymes as needed
~Ranitidine (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 !!!