Ulcerative proctities

[Samina1234]

Hi I have recently been diagnosed with ulcerative proctitis . My consultant put me on 5mg prednisolone fir 6 weeks . After taking it six weeks my rectal bleeding still has not improved and now I am on 20 mg for weeks . Can anyone tell me if this has works for them or if it does or doesn’t improve what should be the next step . I am very stressed . Please help

Thanks

[Sara109]

When I was diagnosed with ulcerative proctitis I was initially given prednisolone at 40mg tapering down by 5mg each week. Initially it worked but now steroids no longer work. My ibd team said that acourse of steroids under 8 weeks tend not to be effective. Everyone is different so please don't take my comments as gospel. Please speak to your gp or consultant at the hospital

[RectalRiick92570]

My first prednisone dose was 60mg for one week, no taper. I'm really surprised you were only given 5mg. In fact I've never heard of anyone starting on that low of a dose. I have proctosigmoiditis which is what you have plus inflammation a little farther up as well. Prednisone was a miracle drug for me at first. Quit working well after a number of months. Now I'm on infliximab still waiting for it to work. Do you have pain with your procto?

[RectalRiick92570]

You should probably also be given some rectal suppositories, or enemas. You could use mesalamine or cortisone based. Talk to your doctor. Do you have a GI doctor?