When to use what rectal med?

I have a follow up with my new GI tomorrow to find out more details on my microscopic colitis diagnosis. I have used canasa for years with my UC- sometimes with success, sometimes literally feeling like I’m flushing money down the toilet. I have also had success at times with steroid enemas when canasa didn’t seem to do the trick.

Because my insane watery diarrhea was responding so well to the budesonide (and never responded to any other med, rectal or otherwise) I asked to try Uceris foam. I started that last Friday instead of the canasa. Over the weekend and into early this week, I became super bloated and started having terrible gas pains, as well as passing mucus. It also felt more like a UC flare in sensation- so I went back to canasa and it is doing the trick. So I guess maybe I have microscopic colitis other places but I still have stubborn rectal inflammation that likes mesalamine and is more UC in nature.
Long story short- when you are having issues and are fortunate enough to have a few things on hand, how do you know which rectal med will work? Especially if you can’t be seen for a few days.

Thanks, iPoop! That’s a good point and who knows? Maybe I’m getting benefits from all of them? Of course I want a clear cut, surefire answer. (Insert eye roll)

I never thought I would be putting so many things up there and here I am, researching more things to try. Haha.