Imuran is azathioprine just imuran is the name brand. Imuran can take a few months to work and get to a theraputic dose. Pred should work very fast within a day or 2. When I was diagnosed they placed me on TPN for nutrition so my bowels could rest, I was on this for 12 weeks and was only allowed clear liquids and when you start to feel better and on high doses of IV pred (as I was) clear liquid only diet stinks especially when I was 8. I was in the hospital for 6 weeks and my parents learned how to do my line so that I could go home and return to school. My first day back to school one girl had a birthday pizza party...my broth looked so .....um...boring especially then. I was given 2 pints of blood when first diagnosed, then my gall bladder almost burst in 99 my platelets were so low I had to have 5 bags of plasma, this year I had emergency surgery...my ileum perforated. My disease was controlled on meds for 20yrs before this issue. I had many complications with surgeries which can happen but most usually dont have issues more so if the Sx is elective rather than emergency. I had 1 or 2 bags of whole blood this last time cant remember which it was though.
The Dr may want to try Entocort it is a non systemic steroid therefore it does not have as many side effects as prednisone also it releases at a certain point in the GI system to focus more at the problem as opposed to the whole body like pred. I am unsure if they would try that being the high doses of pred not helping. I have also been on azulfadine, asacol, and pentasa (on pentasa now as a maint. med). My joints are my biggest issue outside of this year...well they are acting up again but no surgery is warrented for that.
I will keep you and your friend in my thoughts and prayers
Hopefully your friend will get well soon, make sure they do the normal tests, colonoscopy, CT scan or even better for CD is CT enterography, and a SBFT. I had been on remicade prior to my surgeries and did well on it for 5 years. They also have Humira out now woo, I have not tried that drug but many on here have.
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987