Ugh, so typical of that darn stubborn rectum. Like you, I am sort of always simmering (I don't always have blood, but I am simmering nonetheless). Again, doesn't require a med step up but..maybe try a few new combos. How about
throwing a steroid supp in the mix in the am and the Rowasa enema at night. Or Cortifoam and Rowasa enema...well you get the idea..trying different rectal med combos. If I ever get the right combo, I'll let you know. That proctitis is a real *****! On a seperate note, I am jealous you have the Asacol Foam....wish we had that here in the US...sigh.
B