Yes, the leaking stops when I'm in remission. ( I only used suppositories a few times years ago, and don't recall the leaking black. But remember I couldn't hold them in)
What I meant by leaking was more from the start of a flare...i will become constipated, so inflamed that the only thing coming out is"excuse my graghics" tiny turds coated in mucus, and or a explosion of liquid brown/black BM. Urgency increases the longer I let it go without changing my diet a bit, and using the foam or ointment.
19 years ago, it took 3 months to finally get the colonoscopy. I was "moderately" flaring. So once I started the oral Mesalamine, and Proctofoam, it started to work within days. I used the foam for 2 weeks at night. I have used the foam one other time in the past 19 years. I just got another prescription for the proctosone ointment. I think it's helping now during this flare. However, it does not go into the sigmoid colon. But it's great for haemmoroids.
This sounds exactly like what I’m experiencing. So constipated but leaking mucus, blood and tiny turds with mucus as you put it.
Diet wise what did you change? For me I’m finding fiber my enemy, any tiny bit I eat I have more urgency. I’m currently having a lot of fermented foods eg kefir, sauerkraut and then sticking to plain food.
I will push with my consultant when I see him to change what I am on and hopefully give me some oral meds. I’ve not had to deal with this before so don’t know how it works with requesting multiple meds or whether they just advise and stick to one