Been a while - Proctitis or C Diff ?

You should definitely get stool tests, but also, when was the last time you were scoped? How do you know it would be proctitis and not further involvement? Perhaps an oral mesalamine is warranted. It's hard to say what the options are if you do not know what your condition is.

Get a stool test for possible pathogenic causes for your symptoms. C Diff is always possible for us and mirrors flare symptoms. Some general c diff signs are exceptionally foul smelling stool and very quick onset.

UC has a tendency to spread in extent and severity over time. Proctitis is limited to just the rectum. UC always includes rectal involvement, but can spread upward to include the sigmoid colon, transverse colon, and keep going until all of the way up to cover the entire large intestine (known as a pancolitis). For that reason, some proctitis patients take an oral mesalamine to help reduce the odds of inflammation spreading upward.

Yes, some proctitis patients do take oral prednisone. Certainly try rectal-route steroids first (which you did with steroid suppositories), however they are limited in strength. Oral prednisone is a much. much stronger medication that could help.

Before going to oral prednisone, you could try a steroid enema as they are stronger dosages than suppositories are.

Thanks guys , all helpful , I questioned the strength of the pred supps and the IBD nurse said 5 mg is the strongest , and I said that’s not strong enough so she actually said take 2 at a time but that’s still on 10 mg and I have seen people taking up to 50 mg orally and I know my mum had this years ago and she was on 75 mgs back in the day !

Salofalk sachet is thatclassed as an oral mesalazine ?

Every time I have an appointment with the actual GI a nurse sees me instead and sort of palms me off ? That just a British / Welsh thing ?

"Salofalk sachet is that classed as an oral mesalazine ? " Yes!

"Every time I have an appointment with the actual GI a nurse sees me instead and sort of palms me off ? That just a British / Welsh thing ?" I always see the actual GI doctor in person for office visits, but I am within the USA.