Enemas, uceris or other?

So most know my story...pancolitis, no remission yet but last scope showed 85-90% healed colon. Just a pesky section in the transverse and descending colon with mildly active disease but showed healing.

Had a very stressful weekend and here we go, last few mornings had traces of blood. I know my body and wants it starts it gets pretty sever with going 12+ times a day.

I leave for vacation next Friday, and have a surgery for unrelated after that. Id like to avoid prednisone. I have a case of mesalamine enemas and also my dr can call me in uceris. Which would you try first? Any other thoughts or suggestions? Will enemas work for higher up activity? My next remicade infusion is in 3 weeks and my gi will not move it up. He's checked my levels several times and said remi levels aren't the issue.

I have an appointment with GI surgeon for j pouch in October because I think it's time. But just want to have a good vacation first!!

Check, one vote for uceris! Thanks!

Thanks db! You have remission with liada only? That's amazing. Do you attribute it to anything else?

why not both ?

Oh.....thanks for the call on it, but you didn't mention any inflammation in the rectum.

If that's a constant or even slightly inflamed, it should be a given to be on them. Its possible that even the slightest inflammation in the rectum not being treated rectally could exacerbate upper inflammation. I dont see UC acting as you are describing....is it questionable that you ha e CD and not UC?

q

I am with the others, both is a possibility, but for vacation, enemas aren't the most convenient at times - that said, it's not he end of the world to bring some. I think Uceris would probably do a good job if you're 85-90% healed, especially since it's not right in the rectum... My first scope read "patchy" - it was because I was using rectal meds. Everything always came back as conclusive UC. I hope you are able to enjoy your trip :)

I am here for you! Hopefully you don't need to have surgery, but if you do, you're young enough that you can get through it easily. I kind of had it sooner than later, because I felt like if I didn't, i would be facing at later on in life, and a jpouch may not be recommended. I know people get them in their 50s, but 60s or 70s? Not to say life would be terrible if I had to have the ileo, but I wanted to have the jpouch if possible. I am sure you can do it later in life if you're otherwise healthy, but it's going to be harder on you. Plus, I had already lost so much valuable time to sickness, drugs, doctors appointments. Not to say life is perfect with my pouch, I go a lot more, I'd love to go once a day, but the only way I got that was with high doses of prednisone. I'd rather go more, and not take drugs, and be petite & healthy. Chubby + pizza face + hairy + sick + spending loads on doctors and drugs + fear of accident = unhappy person.

Enjoy your trip. You will see how you feel after the consult. I felt like the consult immediately made me feel more at ease with the idea of surgery - but you do need a very experienced surgeon... No one tried to push me either. I was at the point where I was really tired of it all - no pushing was necessary. I assessed the facts presented, was scared as hell, and went for it.