UC flare

Hi all, advice please? Diagnosed with Proctosigmoiditis three years ago, my retirement present!! On various amounts of Asacol, Pentasa enema and Pentasa suppos. Various degree of success , but started flare August time. Upped Asacol to max 4.8 g and nightli enema of Pentasa and added in a daily suppo Pentasa. Blood seems to have stopped but diarrhoea and urgency a real problem. Gastro organising a flexisig but has given me script for Predisolone starting 40 and reducing by 5 mg a week. Not had steroids before and I am worried about effects? Do I really need them yet, bms 3-4 daily with urgency and diarrhoea. Steroids organised re phone call but haven't seen my gastro until flexisig, help, advice please?? Thankyou

Sometimes pred is necessary other times not.

If you're worried about side effects then consider steroid enema, suppository, or a delayed-release oral pill like uceris or clipper. As your gasteroenterologist about prescriptions for those instead of prednisone.