How can I get the best treatment for proctitis?

Condition analysis:
Based on the history Mesacol seems to be not effective in controlling ulcerative colitis in particular the inflammation involving the rectum (proctitis).

For such cases, topical steroids in the form of Hydrocortisone enema or foam
are recommended. These medications can be taken along with Mesacol suppositories for better response.
If there is no response to the above, you may need to take oral steroids in the form of Prednisolone tablets along with Mesacol tablets and Mesacol suppositories for the effective control of proctitis.

You need to consult a gastroenterologist for further evaluation and proper instructions.

Hope these suggestions would be beneficial to you.

Instructions:
For temporary relief of mild pain and inflammation, try the following self-care measures:

-- Ask your doctor before using over-the-counter (OTC) diarrhea medicines. Don't take OTC anti-diarrhea drugs, such as loperamide (Imodium A-D), without your doctor's OK.

-- Avoid food just before bedtime. Eating just before going to bed may stimulate your digestive system and cause you to have bowel movements and discomfort at night.

-- Take over-the-counter pain relievers. Acetaminophen (Tylenol, others) may be helpful, but ask your doctor before taking aspirin or ibuprofen (Advil, Motrin IB, others), as in some cases these may make your proctitis worse.

-- Use a sitz bath with warm water. A sitz bath fits over the toilet. You can get one at a medical supply store or some pharmacies. This may provide some comfort if you experience anal inflammation.