Help with persistent ulcerative proctitis flare

Welcome to the forum but sorry you're suffering from a stubborn proctitis flare.

Do you have Rowasa/pentasa/salofalk retention-enemas in your country? Pentasa suppository is 1-gram dosage. The enemas are typically 4-gram dosage and a little more potent as a result.

There's also steroid suppositories/enemas/foams that can help resolve the issue, for temporary usage.

Sometimes stronger medications like azathioprine are needed for Proctitis. Proctitis can be very stubborn and hard to beat. If you do need azathioprine then few have side effects from it, side effects are rare but serious when they occur. I've been on 6MP (a sister medication to azathioprine) since 2012 and have had zero side effects from it. Everyone is a little nervous when considering a new class of UC medications, and I was no different. What helped me greatly was looking at the actual risks versus benefits. The Crohn's and Colitis Foundation of America has a good presentation and read on it that goes over the odds. The benefits far outweigh the risks.

Webcast: programs.rmei.com/CCFA139VL/presentation/player.html
Transcript: http://www.ccfa.org/assets/pdfs/risk-and-benefits-transcript.pdf

Thank you so much for your kind responses. I have no idea if we have the pentasa enemas - I will absolutely look into it. And thank you- I feel somewhat reassured about the Azathioprine although I still hope to avoid this if possible.

To answer questions - I was diagnosed in 2014. I suddenly developed colitis after having two miscarriages. I was given pentasa and asacol and they worked immediately. Weaned off and stayed in remission for two years. Had a healthy pregnancy in the mean time. Then I had an infection which led to antibiotics which led to a cdiff infection which led to another flare. This one was very stubborn, pentasa didn't not work and prednisone was necessary. This did not work either and strangely it was wild oregano oil that stopped it.

Then had another two miscarriages and here I sit with another stubborn flare.
Symptoms are urgency, blood and mucus.
Diet is mostly plant based, healthy food, free range protein. No changes.
I meditate and exercise for stress relief.
I agree premature to be looking at Azathioprine and want to avoid prednisone too if possible due to the revolting side effects.
Really appreciate your time. Nice to have people to talk to as this condition is so secretive.
Hope you are having a gorgeous weekend!