Topic Explanation
The discussion centers around dealing with rectal stump inflammation and the use of Mesalamine suppositories as a treatment. The original poster shares their experience of rectal stump inflammation and bleeding occurring two years post-surgery. After consulting with a gastroenterologist, they were prescribed Mesalamine suppositories, which initially stopped the bleeding. However, the bleeding resumed after a few weeks, leading to a need for a long-term prescription. The poster also discusses the cost of the medication and the use of discount cards to reduce expenses. They are experimenting with the frequency of suppository use to manage symptoms effectively.

Advice and Insights
1. Consultation and Examination:
- Always consult a doctor if experiencing rectal bleeding. A physical examination is crucial before starting treatment with suppositories.
- A scope examination can help diagnose inflammation and rule out other issues like mucus plugs.

2. Medication and Cost Management:
- Mesalamine suppositories can be effective in stopping bleeding, but the effect may be temporary, requiring ongoing use.
- Using discount cards like GoodRX can significantly reduce the cost of medications.
- Experimenting with the frequency of suppository use can help manage symptoms and reduce costs.

3. Alternative Treatments and Considerations:
- Some individuals may require different forms of Mesalamine, such as rectal foam enemas, though these may only be temporary solutions.
- Discuss with a doctor the possibility of removing the rectal stump if inflammation persists, as there is a risk of tissue death or cancer.

4. Personal Experiences and Adaptations:
- Individuals have different experiences with rectal stump inflammation, with some experiencing mucus discharge instead of bleeding.
- Non-relaxing muscles can exacerbate issues, and treatments like Botox injections may be necessary.
- Regular check-ups with a gastroenterologist are important for monitoring and managing the condition.

5. Lifestyle and Comfort:
- Activities like bike riding can be comfortable with adaptations, such as using a padded seat.
- Managing inflammation effectively can help maintain a normal lifestyle without significant discomfort.