If you look here
www.healingwell.com/community/default.aspx?f=38&m=1894597 and my post makes sense to you, then you can see that in my worst kind of killer flare I can test and see the difference food makes. Its one of the cornerstones of my cancelling my hospital stay which was to begin last Tuesday. There are MANY intersecting biological and environmental influences. It is very complex. I will sum it up this way ( applies to my own experience ). This was the FIRST time my Doctor was willing to discuss food as a part of the flares beginning. Food does not cause UC but I know I can flare from consistently poor food choices.
Remove antagonizing/allergenic foods, fluids, artificial foods and artificial sweeteners.
Move toward slower transit time, eat foods requiring more digestion time, many protein powders are 'peptides' and pre-digested.
Include Spinach
Reduce sugar and carb load, increase protein.
Find what medications take you another step forward, try to change one at a time, calling the nurse seems to be fast and efficient.
Settle on a long term maintenance medication you believe helps you, none of them help everyone
Antihistamines should be examined, there is some seasonality that nudges the immune system and many people report improvement
Bending over all the time picking up things in the yard and home irritates my gut, I bleed more, when I am that sore riding the motorcycle only makes it worse and should be suspended.
If prednisone is not effective and worse when it wears off at night, use cortisone enemas to get thru the night.
Many things intersect here and certainly the CNS and Enteric Nervous system as well, so try to find cognitive relaxation therapy, always avoid emotional turmoil.
When your completely healed is a good time to attempt Human Probiotic Infusion as the missing friendly bacteria can colonize the entire surface but use a young person who has never had antibiotics.