Hi Elaine....The both ends approach is to deal with UC orally for above the rectum and rectally for the rectum and into the sigmoid..depending on what form of med is used.
My UC extends to the sigmoid. I take the oral 5ASA and the enemas to make sure it's all sound (treat and then taper to maintenance). My flares are definitely treated when they first start, so they're low in the rectum anyway..but I continue to use the enemas but concentrate them to the lower part and then up into the sigmoid.
Your situation, what you cannot use. limits your med options.
The enemas in liquid form have more punch I believe regarding med dosage. It will get up into the sigmoid as well..which is a good thing considering your oral options are limited.
I'd definitely give them a true effort trial before going on the pred. If a burst the doc means is a fast taper...then that couls be a good idea for you..maybe a 10 day once and then again if needed...while still on the enemas.
I hope it works for you...it's been a long while for all you've been going through.
*Heather* Status..Asacol (3 twice daily); flaring /Dec 22, tapered to every 3rd nite/ Jan 13
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate).... @ 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 !!!