going back on prednisone

I posted before about my problem and how Ive been on and off of prednisone for the past 5 years . However , during my last colonoscope the doctor gave me 40 mg of predinsone and taper by 5 mg every week, which was the first time I take 40 mg , usually i would take 30 for 2 weeks and then taper . how ever ive only really was in remission when i actually took 30 mg for 3 weeks .

so right now after my last steroid course my symptoms got much better but still I go to the bm 3-5 times a day and there is no bleeding (unlike before). I think that the last time I took the prednisone I was supposed take it for longer before I taper like stay on the initial dose for 4 weeks and then taper . right now i have exams which doesnt help bcs of the stress , so i was thinking when I go back home in the summer holiday that I would start prednisone again but this time Ill wait until my symptoms really get better before i taper .

I ve tried immunosuppressants but they dont help at all , was on them for more than a year . so do you think I should take steroids for 3 or 4 weeks and then taper, im thinking 30mg would do the trick ,or is it a waste of time ?. I think whats helping me now is the nortryptalline and vsl3 .

I should add that I think the main culprit in me getting worse in my condition was bcs of fasting during ramadan . and every year I would fast and this would make my symptoms very bad . so Im going to stop fasting this year and maybe even my entire life . im not saying that fasting is a bad thing its just not for some people like me who have certain medical conditions .

If you have to take prednisone multiple times and even then you can not get in full remission, that means prednisone is not working. You said immunomodulators did not work for you and since you are young you may not like to go on higher medication like Remicade, Humira...etc.

But prednisone is the worst of all. For other medication chances of something happens are like " If it happens..." but with prednisone you will definitely have side effects due to long term use of it. Some are issues with bones, diabetes etc..

Try to increase mesalamine and may be take prednison and if it does not work again, talk to your doctor about next step.

Wish you quick and long remission.