Flaring again after 2 months remission

It's easy to blame it on diet, but the reality is that you're probably not treating your UC enough to maintain remission. Do you take mesalamine orally along with Aza and the rectals? Also, are you in the therapeutic range with Aza? It seems like the standard dose for Aza here is 150mg, not for everyone of course, as it depends on weight, but I see 150mg mentioned a lot. Foam enemas are great if you're having trouble with retention, but a regular steroid enema definitely packs more punch. it's higher dose and reaches farther. Sometimes I would double up with a suppository if I was in really bad shape.

All the symptoms you describe are 100% similar to what I dealt with for many years... I think you can get it under control if you're aggressive with your meds. Of course you can also try eating a healthier diet, eliminate some of the rich foods and the breads and see if that helps. It helps some dramatically.

Thanks guys for the response. I remember having my thioprine levels checked, and they were in range (however this was about 8 months ago). I couldn't retain the salofalk enemas, switched to asacol suppositories twice daily and predfoam at night. I've had this condition for 10 years, and was initially started on Asacol 1.2g BD. Following a string of flares, this was increased to 4.8g OD which raised my Liver enzymes (rare in most patients, I was definately an anomaly). I think I'll have a word with my Gastroenteroligist next week as I have my annual appt scheduled.

In terms of diet, what is best at this moment in time. I know diet is very individual, but usually what do you guys eat/drink?