Hi bigpun17.....yep, you need both oral and rectal meds...I'm hardcore 5ASA..so would say Asacol oral and Salofalk rectal. You want to help keep the UC from spreading upward..for some it happens, others not...but who's to know when and to whom. Just lessen the risk.
You should be also consuming more meat/protein into your diet.
Your morning experience is because you're flaring..plain and simple. The enemas should be used nightly until your symptoms stop...of course, in conjunction with Asacol (or other).
You might want to consider taking a fibre supplement (start slowly) to help bulk up the stool a bit.
As well, consider a probiotic.
Are you in Canada or the UK or other?
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x 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....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ 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 !!!