Have you had stool testing done? If not....please do.
If your doc hasn't increased your oral or put you on enemas of 4g, he should have you try that first.
What is the extent location of your UC?
What rectal....suppositories or enemas of what dosage? What oral exactly?
And yes....mesalamine can and does help reach remission and maintain when tapered to a lower dosage...... but a correct dosage needs to be used. 1500mg is a way too low of a dosage. I'd suggest increasing to 2400mg , and if that's not enough then to 3600mg and then to 4800mg if needed. Some can have symptoms of it being too high of a dosage initially , so that's why I suggest increasing in increments rather than top dosage. ipoop and I differ in that opinion.
4g enemas for sure.
Exhaust mesalamines first.
I have done a year ago, when I was having the first symptoms, the fecal occult blood test, which came positive and thus I did a colonoscopy that led to the diagnosis of UC. They took biopsies and the result was mild procto-sigmoiditis. Most of the inflammation was in the rectum, that is why the GE prescribed me mesalazine suppositories, and also because he prefers those to foam or enema as the patient adherence is higher and generate less discomfort.
The symptoms that I was having were mostly abdominal pain, bloating and, unusually, constipation, alternating with days of soft stools, not acute diarrhea attacks or evident blood in stools. These are the symptoms that reappeared on and off lately.
The oral mesalazine is currently 2.4g/day Octasa MR and the rectal is 1g suppository/day of Salofalk.
what stool testing are you thinking about
? A couple of months ago, when though I was not having symptoms as now, I have done the calprotectin test, which was negative.
I see from your signature that you were diagnosed with procto-sigmoiditis in 1989. Has your disease kept limited to that area of the large bowel or progressed? How often have you done check-up colonoscopies?