Hi..do you have a copy of your pathology report? If yes...what exactly does it say.
If you have absolutely NO inflammation in the rectum, even the lowest part, then the urgency could be from IBS, some function of the spincter not as strong from having the flares or something you're eating that's causing your colon to faster to have the rectum purge quickly.
Keigel exercises may help.
you could consider to take a fibre supplement to help bulk up the stool and help exercise the colon. It might ultimately help the urge/urgency feeling too.
You could also ask for some rectal meds and see if that helps as well as an antispasmodic...
*Heather* Status: ...Asacol 3 twice daily; Salofalk enemas every 2nd 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 !!!