What is going on?

11 days ago I had blood on the tissue after a period of anxiety and a loose bowel movement which I put down to piles or a mini flare. I was prescribed Pentasa Foam Enema but as  the bleeding had stopped immediately I decided not to take the foam but to use suppositories in addition to upping my Pentasa to 4.5 grams a day.

I still can't seem to recover from this and I have had 10 days normal to loose stools no matter what I eat or try. During that time I took Imodium but it gave me constipation and small stools so stopped it last week.

Now these past two days the stools have got even looser with the BM I just had showing diarrhoea.

I cannot put my finger on what's wrong.

I have two bowel movements a day with no urgency, I don't feel unwell or anything even though I am mildly conscious of this which is making my IBS worse...I don't seem to have any mucous or anything, just loose stools/diarrhoea.

My question is:

1. When should I start the Foam Enema?

2. Should I take Imodium?

3. Should I up the fibre intake?

4. What is the best solution for diarrhoea only?

I am mindful that this might be the beginning of a flare up and I want to ensure I can stop it before it goes any further. The thing with upping the meds and adding foam etc is that Mesalzine can often cause Diarrhoea if taken too much?

Many thanks for your help.

2. It constipates you. No. Maybe if you get worse, but... I dunno, never tried that stuff and I don't plan on it. I just don't like the sound of it, personally. Up to you at that point, if it gets that far.

3. You can try. If you get better, awesome, if you get worse, stop taking it. You might get gas and bloating the first few days. But yeah, you could go ahead and try it out. I use Fiber Choice chewables.

4. I think it depends on the person. My first GI told me to eat starchy foods.

Good luck, hopefully you can stop it before it gets worse!