Hi....I think you're not on enough medication, firstly.
You could ask the doc to prescribe dicyclomine, it's an antispasmodic that will help with the tenesmus.
I hope the doc takes a look-see to clarify it's only inflammation and not a fistula or infection or hemmie, etc as well.
Yes, wear a pantyliner to protect your clothes.....
If you have any gas at all, I would think that it would push out whatever is in the rectum as well...and if you're bleeding low in the rectum, that's what's there, it has no where else to sit except to exit out where gravity pulls.
An inflamed rectum, especially low in the rectum, will have less ability to "hold"...
You might find that adding a fibre supplement such as Metamucil Smooth will help a bit...
Keep us posted about
your appointment on Friday....
I think you should still consider to use a higher dosage of suppositories...either 3 daily or ask the doc for 1000mg supps and use 3 times a day...or consider to add hydrocortisone foam enemas or suppositories as well...
I truly feel for you.
*Heather* Status: mild flare enemas tapered to every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance
~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 !!!