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Reply to "Here We Go... Again"

I echo New577’s recommendation for Proctofoam (corticosteroid enemas with many different names). They can be a little cumbersome and not sure how old your daughter is and how acceptable rectal meds will be. They worked way better than the Canasa which I always had trouble retaining during a flare. I had proctitis with very mild distal sigmoid involvement for years before extension requiring biologics. I guess one could argue that maybe the topicals are just a bandaid considering I’m here on this forum after requiring emergency surgery but I agree that reaching for a biologic when disease is mild can be a tough decision. Wish you and your daughters the best.

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