Posted 7/22/2019 8:04 AM (GMT -6)
Always happy to give a long time lurker, a long-deserved welcome! Sorry to hear you are flaring though.
As much as you/I would love to have every flare be predictable, every flare is very, very different in extent and severity. Just the reality of flares and UC. It might take 2-4 weeks of asacol at maximum dosage to start feeling a relief. I would not loose hope, just yet. Likely you are just having a more severe flare now, then you have had in the past. That will take a bit longer to control then you are accustomed to, and might require stronger dosages and/or more medications then you are used to, to recover with.
If you've been reading us for as long as you say, then you must've anticipated the following question to you: "Have you ever been on rectal-route medications?," That is a suppository (pentasa/canasa/mesalamine/asacol suppository), rectal foam, or retention enema (rowasa/pentasa/salofalk/mesalamine/asacol enema) form of asacol/mesalamine? That should be the next thing you ask for, in addition to your maximum dosage of asacol. As we heal the fastest and have the best results by treating from both ends.