Jason, has your doctor not even suggested any rectal meds?
Maybe you can refuse the pred and try to control your UC with just the 5ASA meds (Lialda in conjunction with Rowasa)....it's a commitment, however, if it works for you, could be a plus for you life-long.
What other supplements are you taking? You could try to add fibre supplements as well a probiotics....
The other thing...you could read the spinach/seeds diet which a few are following. I don't do it, but worth to check it out.
*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 !!!