wodin, I have pancolitis, and my GI said it was a good idea for me to be on mesalamine enemas as well. He didn't prescribe them initially (I asked about them at my 2nd post-diagnosis appt, which was a week after my 1st post-diagnosis appt), and he'd said he hadn't prescribed them initially b/c my symptoms were so severe he didn't think I'd be able to retain them at all, and wanted to see what Asacol alone would do. The Asacol had started to help a tiny bit, but when I added the enemas, my symptoms got a WHOLE lot better right away. The topical rectal meds (enemas, suppositories) have been studied extensively, and are MUCH more effective at calming inflammation.
I really don't agree with your GI. Yes, the won't do anything for the inflammation that's higher up in the colon. But they WILL do so, so, so much to heal the lower part of your colon that they DO reach (and that oral meds can't always reach). I completely agree with quincy that your doctor should have prescribed enemas before prednisone. My doctor HATED that he had to prescribe prednisone to get me out of the flare. But, I had an interview coming up, it had been over a month and a half since my diagnosis, I had been ill for four months, and I had a 5 month old at home.
Status: Remission since May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Diagnosed with pancolitis on 1/30/09
Currently meds: Apriso (4 0.375g pills ONCE!! daily), mesalamine enema twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, and Zoloft (currently tapering; 12.5 mg).