Is it time to try hydrocortisone enemas?

Hello everyone! I need some advice. My flare has been going on for a year and a half now. It started out quite severe, but a short round of prednisone helped symptoms subside quickly. Even though for all this time I’ve been having one bm, mostly formed, and mostly no blood, I’ve been struggling with symptoms like gas, bloating and cramping. Over the past three weeks I noticed a deterioration in my condition – more urgency, more gas and softer/not formed bms. GI told me to try a quick round of hydrocortisone enemas, but I am hesitant to start them. I am worried that it might be difficult to taper. I’ve been also doing hydrocortisone suppositories since September - started out every day, but now tapered to once per week. Been doing it for around two months now. Any advice would be appreciated. I keep thinking that the symptoms will improve on their own. Two weeks ago, when I was on my winter vacation, I did feel a little better. (I was getting lots of rest and sleep at that time). Now I am back to work and the flare picked up.

My current regiment includes 2 lialda per day, nightly rowasa, morning canasa, hydrocortisone suppository once per week. I am also taking ½ teaspoon of psyllium husk, and many other supplements which seemed to help for a bit, but now I see no results…

GI said to do them every day, for three or four days. Then, taper to every other day for a week, and then every two days, also for a week. He said to do them in the morning, and do rowasa at night. I don't think I would be able to retain them in the morning, as I have to go to work... I was thinking to just do them instead of rowasa.

Quincy, many thanks for your suggestions! I already have them... Why do you think the cortifoam would be better?

Doesn't cortifoam contain less of the active ingredient and doesn't go as far? My inflammation is 30 centimeters high.

I am actually in the US, so it sounds like i should ask for Uceris-foam.