Use the options available, supps (steroid and mesalamine) in combo wih the enemas (steroid and mesalamine).
The supps can be used at the same time or separately.
I have tenesmus in a flare, and it's one of the obvious symptoms for me. Consider you already have inflammation and tenesmus.....so, bleeding isn't an indicator for it.....it can happen with the mildest of inflammation (and I know for a fact when my doc did a visual, and he said that the inflammation was so mild he could talk himself towards a flare or away from one). Since I had the tenesmus during that visual, he leaned to the flare (to which I rolled my eyes at the obvious)
*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) : 3/11/2018 10:10:48 PM (GMT-6)