It's definitely your choice.....but if they work (and they have for me for 20 years), that could be in your favour for a very long time.
I, personally, am more grossed out by having a flare than sticking meds in the area that will help treat and control it.
I'm hardcore 5-ASA...and intend (hope) to remain that way forever.
My flares have been minimal...and that's purely from treating with the enemas early, using them for treatment nightly and then slowly tapering to a maintenance dosage.
Are they a regular med staple....yes.....but I don't always have to use them nightly. Sometimes I hurry the taper just because I hate using them....and have skipped a night "just because"..although that's very seldom.
*Heather* Status..Asacol (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite..back to nightly (Jan 22)..tapered too fast
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux); Effexor XR 75mg(depression); Pulmicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate). @ bedtime
~various digestive enzymes as needed; started Omega 3
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!