Went to see my consultant yesterday to discuss my treatment options as I'm almost at the end of my pred taper.
My recent sigmoidoscopy showed that my colon is clear of disease so my flare up must be back in the small bowel, most likely at the site of my resection. I had an ultrasound too which didn't show any obvious thickening of the small bowel. My consultant has ordered an MRI for me as well.
He also ran blood tests and said that if my TGN levels came back low (in previous tests they have been non-existent), he would start me on TPMT to try and get the azathioprine working, but if they come back high then he wants to start me on infliximab. I'm a bit worried about this as obviously it's a big decision and my doc says it's the last resort in terms of drug treatment. There are also some issues around NHS funding for biologics in the UK. But on the other hand my consultant said that surgery is now looking more and more likely and I really don't think I can deal with another resection so soon!
I know no-one can really offer advice as I just have to wait for my blood results (going to see my consultant again in 4 weeks to see how I am once I'm off the pred) but just interested to see if anyone else's disease followed this path and what happened?
Diagnosed with Crohn's disease in Sept 05 aged 24
Resection in Nov 06
Currently taking 125mg azathioprine, 10mg prednisolone (tapering), multivitamin, probiotics and omega 3
Previously taken Entocort, Flagyl, Cipro, Pentasa