Oh my...your doc should give you at least 3 - 6 months with oral and rectal 5ASA...and if you're not improving at all and getting worse, then maybe consider something else.....
You could up the asacol to 4 twice daily....
You have some control, but you're not even in the rectal med realm for a month yet.
When I saw another doctor in place of mine during the first year...he said that if I was his patient, he wouldn't waste the time with the 5ASA meds and would have put me on pred first thing. I said to him that I was relieved he wasn't my doctor.
When I mentioned that to my doctor when he got back, he just smiled and chuckled. Many doctors don't get the concept of patience and do think the hurry up tact is best for the patient.
I can only speak from 20 years of experience with hardcore 5ASA meds....you do need patience. I was in tears a lot the first year, sick of patience, but my doc reassured me because I was "improving". I did try to get off the meds the first 2 years with tapering off as the goal...no go. After he gave me the freedom to use the enemas earlier (than waiting to see him), I improved even more.
5ASA is a perfect match for me....some cannot take them at all (kops and others).
There were times I did ask my doc if steroid enemas should be considered and he just said that I'm still improving...so that's where it stays.
If it's any consolation, I'm still not perfect from my flare at Christmas and am going back to nightly enemas as of tonight. Lots has been going on with me emotionally, and I tapered way too fast...today isn't a good day, so I'm just going back to square one. I'm also in a BPPV (positional vertigo) attack adding to my p-o'd state of mind.
hang tough....it's still worth it if you give it a fair chance and don't get too desperate. You could suggest the steroid enemas ... foam ...maybe to try in the morning, in conjunction with the Rowasa.
*Heather* Status..Asacol (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite
~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 !!!