Flare up with proctosigmoiditis

Hi everyone!

I was diagnosed with proctosigmoiditis back last September. I was prescribed an enema and told to take 2 tablets of Asacol 3 times a day (6 total). I stopped using the enema a month later, and more recently, my doctor told me to decrease to 2 tablets of Asacol 2 times a day (4 total) and then go to 1 tablet of Asacol 2 times a day (2 total).

Unfortunately, since doing that, my symptoms have started to come back (mild cramping, feeling like I have to go multiple times a day, not much coming out, etc.). I called my doctor and he told me to go back to 6 total tablets in the day. However, that has seemed to have little effect, as my symptoms have continued and appear to be getting a little worse. I'm waiting for him to get back to me, but it might take a week or so before I go in to see him.

Does anyone have any other advice for me to do or try? I appreciate any suggestions. Thank you!

I agree.

In general, I think the idea of tapering the oral meds is not good, although you can probably get to a "maintenance dose" - probably more than the 2/day.

I think you will need to use a rectal enema for a lot longer than 1 month to get total remission in the rectum.

Def. agree w/ rectal meds!