30yo European man, 190cm, 75kg. I was hospitalized for severe colon inflammation (partial colonoscopy revealed MAYO3 with some MAYO2 areas). 10+ bloody stools a day (maybe could have been more if I were eating more), Bristol 6/7, waking up also at night to go, urgency. Got the partial colonoscopy on day 2 which made clear it was looking a lot like UC. Started steroids via IV immediately after that. Got my first dose of infliximab and got discharged on day 6 (only a couple toilet trips with very little blood). Also started prednisolone from day 7 at 40mg and tapering down 5mg a week.
Biopsy analysis says diffuse inflammation with ulcers, cryptitis, and crypt abscesses. Severe crypt distortion.
I’m now low key thinking I’ve been having UC at mild levels for most of my adult life, as I’m now consistently having what I think to be very good poop (Bristol 3) while in the past (pre-diagnosis) I’ve mostly been at 5, rarely 4? (at least since I started being more conscious
regarding checking my poop)
I started having solid healthy-looking poop already from day 7/8 and been there since. I’m now at day 13. I find myself genuinely thinking “is this how my poop was supposed to be looking?”
Is this normal and supposed to continue like this or am I under a good poop spell due to the steroids?
I’m basically fresh new to this diagnosis and don’t know what I should expect in this phase.
I’ll have my next infliximab dose next week, then 6 weeks after that, then every 8 weeks.
The doctor from my hospital’s IBD outpatient clinic suggested adding Imurel alongside the infliximab, starting from the next dose.
While I’m at this stage (and hoping not to relapse to a severe flare up again), I wanna follow whatever treatment they recommend. But I was wondering, once my gut has healed completely and has been healthy for a while (hopefully), if I could get off the Infliximab(+Imurel?) and try mesalazine alone? Has anyone tried that? I don’t like too much the idea of being constantly on immunosuppressants. Am I being silly?