Road to remission He

Hello everyone!
I am new here and welcome your opinions. 3 months ago I had colonoscopy and was diagnosed with SCAD - segmental colitis associated with diverticulosis. This is pretty rare and I had some research done to learn what it is. It’s a little different from classic UC. My GI put me on what seems to be standard course of action for this condition. A week on antibiotics (Flagyl and Cipro), Asacol (2400mg a day), 4 Metamucil caps.
My main symptom is blood. Then frequency 4-5 bm. Sometimes rumbling and gases. No other symptoms.
I do see improvements and don’t get me wrong I am grateful for any improvement but it’s going very slow.
I have inflammation only in sigmoid colon and it seems to be not really severe. In addition to meds I keep the diet (IBD aid), take lots of supplements (pro butyrate, Boswellia, ppc, l-glutamine, vitamins) and it feels discouraging considering all my efforts.
What is working, I don’t know. I can’t say I am not responding to the treatment as overall it’s better than it was. Last week I noticed trend to less frequency (3-4 bm), 2 bm were always normal for me. Less blood, but it is still there. Mostly in mucus or small specks or streaks on the stool. Gases and rumbling now maybe a little more than normal. Other than that stools are formed or soft formed. No urgency or pain.
It’s hard for me to assess where I stand and what to do to expedite the remission. Is it how it goes from your experience? Should it just take more time? Your feedback is highly appreciated.

Me either hearing about it....i agree about the mesalamine enemas, and oral mesalamine will also help.

Welcome,
q

imo enemas other than salofalk or other meds may be risky (but that's my opinion)

Internal-healing is a very slow process. It is never a linear progression with daily improvements from flaring to remission. Rather it is more like a rollercoaster full of surprise sharp ups and downs. Perfectly normal to have a lot of day-to-day variation, have really good days followed by really bad days, etc. Look at the week-to-week progress for a better more accurate view of where you stand: are you slowly getting better?, Have you reached a plateau?, Are you slowly getting worse?

Personally, I'd urge you to stick to prescription enemas, like mesalamine enemas or steroid enemas.

Any and all manner of enemas have been tried here over the years, including vitamin e, searching the forum might pull up some results. Cheers!

Thanks for your responses!
iPoop, I agree it’s lots of up and down. I wish it was somewhat more consistent.

DBwithUC, I have diverticulosis not diverticulitis. Meaning diverticula not inflamed causing symptoms. For this condition I need hi fiber diet. I had high hopes about IBD diet, as it seems a good common sense diet and so many people have done really well on it dropping symptoms significantly. But from what I see it doesn’t do much for me. Maybe all those smoothies and soft textures are not enough fiber for me. I am starting to realize that.
When it comes to diets it’s so confusing.
I searched for information regarding diverticulosis and found somewhere that laxatives and enemas are not recommended. Maybe this is the reason my GI didn’t prescribed me recitals.
I have read Briggs protocol and theoretically it makes sense to use anti inflammatory enema or suppositories to the site to promote healing. But practically I am reluctant to implement it.
Just watching for now how it goes. Not many people familiar with the SCAD to find something specific.