It's normal that once you wake-up, the rest of you does as well. The added pressure on the sigmoid will send the stool in there to the rectum.
Now, the issue of having to go more often .... you're flaring. You should be on rectal meds for sure...and I would say the word for descript
ion should be inflammation..not "irritation".
You can consider to take fibre supplements to bulk and soften the stool as well as to "exercise the colon"....that will help get back the rhythm of peristalsis.
As well...rather than imodium or lomotil, ask the doc for a much milder antispasmodic such as dicyclomine...low dosage of 10mg at night will help somewhat.
Rectal meds...and the fact that you're still flaring, expect to have urgency. It is what it is....
Taking colonic imobilisers will only give you a false sense of having things controlled...but it'll do nothing for the inflammation.
You can also consider to take probiotics. No, don't consider...do start to take them.
Hope you feel better soon.
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas 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 !!!