Hi....I've never had internal hemmies...maybe you could ask the doc if you could try proctocedyl instead of straight cortisone suppositories. There is "some" hydrocortisone in them, but other stuff as well...for me they work for for even external hemmies and the fissure when I have them and I "fear" the possibility of a flare from them. I only use them for a day or two, but the difference is noticable.
You could also use the external cream if necessary.
Just a suggestion, but for me that stuff rocks.
It is by prescript
And, if you use the enemas, you can make sure the nozzle is completely in and the med used higher, not drawn into the rectum....and the suppositories used maybe in the mornings.
What do you think?
*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 !!!