Hi..you should be using both rectal and oral 5ASA meds to start.
Where in the colon is your UC limited to?
The rectal meds aren't meant to reach above either the rectum (suppositories) or the sigmoid (enemas).
Contrary to any doctors saying so, the oral meds won't reach the rectum and wouldn't be best treatment to be used alone.
Asacol is both a treatment and a maintenance med. The rectal enemas should be for treatment and tapered to maintenance if needed...and I don't consider the suppositories for treatment, although better than nothing.
Consider where UC starts...in the rectum. It is either limited or throughout.
It's not a one or other approach..it's both.
Learn now or ..... later!
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!