HI.....i would up the oral mesalamine to top dosage. Use the mesalamine at night and the steroid foam during the day since they are easier to retain.
How much liquid in the mesalamine enema?....60g (ml) or 100g (ml)?
What exactly are your symotoms exactly , and how is the bleeding....between bms, in stool, colour, how much, ? What is stool frequency and consistency. The symptoms other than bledding tell more about
Its better so say ulcerations, not ulcers. Inflammation and friable causing bleeding...etc is clearer since inflammation is in increments.....in both increasing severity and healing. Ulcers are deeper into the tissue and do signifying an additional issue.
I dont think you need pred at this point yet. You have options given, which is awesome. Quite a few have been on enemas for long periods of time. Always keep in mind the dosage of enemas since they come in 1g, 2g, and 4g. All important to note, and can be adjusted for treatment, tapering and maintenancs.
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma); Effexor XR 75mg (depression); Rosuvastatin 10mg (cholesterol); Telemesartin 80mg / Amlodipine 5mg (BP)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Genuine Health Advanced Gut Health 15 billion @ bedtime)
~Metamucil capsules 6 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
"TREAT (FROM)BOTH ENDS" worth it !!
Post Edited (quincy) : 2/13/2018 12:19:10 PM (GMT-7)