Steroids help and advice first time

Hi all, could do with some opinion if possible, I've been suffering my first flare since 2012 of proctitis, was told to double up my pentasa suppositories 1g which has not helped at all still have 8 plus bms per day mostly with blood, my bloods were ok but inflammation markers were elevated. The consultant is considering giving me a course of oral steroids which I'd be grateful for but I suffer from acid reflux and take 15mg of lansoprazole daily and have done for years which keeps me in check
Will steroids make this worse should I avoid them? Should I double up my lansoprazole? Or is there an alternative?

I'd be grateful for your thoughts

The steroid enema has fewer side effects than oral. Start there and see how it goes. Are you on anything else for your UP?

Steroid enemas, foams, or suppositories are a better 1st flare respinse for proctitis patients. Less side effects as a bonus. Good luck!