After so many years I'm back (with inflammation)

Nice to see you all again after quite a long time, especially my key advisor, Dr. Quincy.
I had a flex sig this week and it showed moderate inflammation in the rectum, all told a foot of colon.
Several months back, I had stopped doing the mesalamine enemas nightly (huge mistake) because I was having to run to the bathroom all the time and I couldn't hold it in. It would pour out with leaking stool. (I'm so in denial that I need enemas nightly --- no taper needed here).
Doc said I have active UC and outlet constipation for which I'll need physical therapy.
I still have urgency and I'm leaking when I pass gas. I'm having accidents. :-(, but fewer since I went back on enemas.
Good news. Metamucil is giving me normal stools. ( I had tried everything)
GI told me to continue taking enemas nightly and canasa in the morning.
I mentioned steroid enemas and he was adamently against it.
Why would he reject it? Any thoughts?

Ellen

sorry you're back with a grumpy butt :-(

i don't have any medical facts or studies to offer, just my simple thought - and that is, topical steroid use can cause damage -

so if alternatives are reasonable and effective, avoid the steroids -


nite nite

TT

Welcome back! Stick with the mesalamine enemas and suppositories. Did the doc increase the Lialda as well?

Can you take probiotics?

q