Ulcerative Proctitis....need advice for symptoms

I have Ulcerative Proctitis and started to flare in Nov 2016. Started with blood in stool, then urgency that escalated quickly. Was on Asacol 2 3xday. In Jan 2017 started Canasa nightly for about 3 months. Things got better but never great. Everytime i stopped the Canasa everything went back to the worst state.

In mid June 2017 Dr. switched me to Lialda and gave me one more month of Canasa. I've been off Canasa about 3 weeks and feeling great except for blood in my stool. I can't seem to get rid of it once and for all. Not always but normally at least twice a week. Like today, both am and afternoon. I only have 2 good solid BM per day. Cut out processed food, bread except tortillas.
Not sure what to do to kick this. I have no urgency or accident threats anymore but the blood is distrubing. Dr just says it's the colitis or possibly internal hemmies, which the colonoscopy confirmed I do have, and if things get worse come in to see him.

Oh also started Qing Dai about 9 weeks ago. Feeling good on it but not sure if it's helping.

Any suggestions or advice? Thanks!

I see that's a steroid. Does it have side effects like prednisone? That stuff is terrible. Dr had me on flagyl.l, antibiotic, for 10 days. I stopped at 7 bc things got so much worse and I felt terrible.

I'd just do the Canasa every night until the blood stops and then every other night forever as maintenance.

Yes rectum inflammation can be very stubborn, having proctitis doesn't at all give you an easy pass to UC. You still have the most troublesome area.

I'd press your doctor on the not using rectal meds for maintenance thing. Since oral mesalamine (Lialda) doesn't usually reach the rectum (or doesn't stay in the rectum long enough to do anything), that's a strange stance to take to treating proctitis.

I also took Uceris. It worked great. No side effects at all for me.

Thank u all! I'll definitely look at the article and maybe talk to him about Uceris.