Sharbear I am in a similar sit. Started Entyvio in sept was on pred. 30 mg/d and 6 mg entocort and augmentin. My main problem is a pa fistula. 4-6 BM /d but sometimes more and sometimes uncontrollable.
Was unable to reduce pred. Doc added MTX inj 1 ml/week in dec.. Said if that doesn't work have to consider surgery. I said no way there are a lot more options.
E.g. Try Remicade again which failed after 9 years of remission. Then I would try LDN, elemental diet, or live with what I got until something better comes along.
Did my homework on treatments and next time asked her about
Prochymal a yet unapproved stem cell drug. She said I would be a candidate and it is now
open label but have to keep trying what we're doing first. Also discussed possibility of increasing ENTYVIO to every 4weeks.
Anyway I am doing much better on lowering pred down to 10 entocort down to 3 and symptoms somewhat improved but more fatigued possibly from MTX.
BOTTOM LINE if life is tolerable and you don't have a lot of scar tissue (I have none) avoid surgery as long as possible and hope for new treatments meanwhile try everything else you can think of esp diets like PALEO and gaps. Vit d etc.
Also surgery is not a cure for Crohn's and removing your colon does not guarantee you won't get small bowel Crohns so all you end up doing is trading one nightmare for another. They say it only happens in 10% but I don't have any confidence in that. Know about
too many people who had colon removed and got small bowel CROHNS.
Post Edited (Old Cronie) : 3/7/2015 2:18:16 PM (GMT-7)