Am I flaring again?

Ok so starting December of 2013 I have been flaring on and off. I go on prednisone come off and flare right back up sometimes immediately, sometimes within a couple weeks and sometimes before even fully tapering. My doctor recently finally prescribed me Simponi (took my first two injections March 17) and I've been off the prednisone for close to a month now, I believe my last dose was April 6.

But I started having D again and urgency right after eating not long after stopping the pred, so I decided to try psyllium husk to bulk it up a bit. Definitely seems to be bulking it it up bc no more D. But i always since this started in December of 2013 have had a horrible problem with urgency. But it seemed to be getting better this time and all of a sudden I'm having even more urgency and even had an accident tonight trying to make it from the dinner table to the bathroom (it was still formed and pretty solid) but there was no stopping it. I've also been having what I believe is mucus coming out sometimes while passing gas.

I'm starting to worry that it's a flare starting again. It's becoming very depressing I've hardly left the house in a year. And I was finally gaining my confidence back and then of course I have an accident tonight after not having one for a while and lose every bit of confidence.

I thought the loading schedule for simponi was 2 shots, then 1 shot 2 weeks later, then 1 shot every 4 weeks? I could be wrong. Simponi didn't work for me but it sounds like you're doing pretty well if things are formed. Have you considered trying rectal meds?

It sounds like you just finished the loading and your first 4 week dose would be this week? I would see how you are after that dose...

Get on retention enemas...mesalamine to start. You can supplement them with a steroid foam enema during the day and mesalamine at night.

How much fish oil are you taking? Maybe lay off that for a while.

If you're not on a probiotic, start one.

When do you take the psyllium?

Have you had stool testing to make sure nothing else is going on?

Hope something gets you back on track soon.
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