Finished pred taper and blood returns. Ugh.

I did a 2 month pred taper after a bad flare. I took my time. Didn't rush. Tapered slowly. I am down to 5mg as of last Tuesday. Yesterday I noticed blood on my stool and on the tp. Bright red. Stool is formed. I restarted Rowasa enemas last night. This am still had red blood on formed stool. I am also borderline constipated. I have had some narrow stools for the last 2 days so I am assuming the rectal inflammation (my worst UC enemy!) is returning.

Here's my questions. I also have some steroid enemas. I filled the prescription but never used them (as I stopped bleeding entirely while on pred). Should I use those or the Rowasa? Or should I give the Rowasa a few days to kick back in and if don't see improvement try the steroid enemas?

At this point my GI has said one more pred round if I start to flare again and then Remicade or Humera. I want to be healthy but those options really scare me for some reason. I"m already on azathioprine right now.

Thanks for listening and any suggestions! Oh I also started VSL DS about 3 weeks ago. I was at 1/2 packet per day. Going to bump that up to a full packet a day.

Thanks! Oh and I looked at the steroids. They are not enemas but foam??

I used foam enemas when I was flaring up while on pred. I think they helped. I would try to use the rowasa and see if it helps, if it doesn't try doing what Sherry said, foam at night and rowasa in the morning. You definitely want to get this before it turns into something worse. I am sorry you're having symptoms.

^Thanks! I appreciate all the help!