I think the fact that you were on prednisone and it didn't help will set you back a bit.
The Salofalk will take at least a week or two or even three to have marked improvement...and you may need to stay on them for a while before even attempting to taper down to a maintenance dosage.
Using the enemas is a faithful commitment, and it's normal to have urgency in the morning, even if I have mild inflammation in the rectum during flaring...urgency is my issue. Patience is definitely a must...as per my doc and my first two years of learning how to use them to my advantage.
I know you're in a bad place mentally...but try to keep things in perspective. UC sucks bigtime, and I grumble and swear at it when I'm flaring. I hate having it, but that doesn't mean I don't have the tools to deal with it.
If surgery is what you really want, then do that route....but try to focus your energy on the patience part of seeing the treatment through. If you cannot use them....you will find that out....then think about
your next option.
If it's any consolation....they believe that 5ASA meds help in protecting the colon from cancer. We have to be checked through biopsies regularly...but that depends on how often we flare as well...constant inflammation my increase our risk....but that's not a focus for you at this time.
Give the Salofalk and Asacol a FAIR try. Hang tough....if you can use them to deal with your flares, it's something that you could probably use for the rest of your life.
Curious...are you in Canada? if so, where....I'm in Winnipeg.
*Heather* Status: mild flare enemas tapered to every 3rd 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). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!