Prednisone / Week 2 - symptom relief possible? pls share ...

ibdwa

New Member

Joined : Jul 2016

Posts : 7

Posted 9/7/2016 6:08 PM (GMT -7)

Hello Forum members:

While waiting for Entyvio to kick in (9th week since I started), my GI has me on 40mg Prednisone.

Today is day 8 and I haven't seen any relief in diarrhea, bloating, abdominal pain (prolonged 'flare').

Can you please share your experience with Prednisone in these situations? Should I expect incremental improvements anytime soon (GI says to stick with 40mg through the second week)?

Please advise and share how you navigated this phase.

Thanks!!

scifigal2k

Veteran Member

Joined : May 2012

Posts : 3495

Posted 9/7/2016 6:41 PM (GMT -7)

I think you should ask for a stool sample and make sure you don't have salmonella or c. diff. or something.

CD, gastroparesis, fibro, arthritis, GERD

Meds: Remicade

"For this thing I besought the Lord thrice that it depart from me. He said, My grace is sufficient for thee: for my strength is made perfect in weakness. Most gladly therefore will I rather glory in my infirmities; I take pleasure in infirmities, reproaches, necessities, persecutions, distresses, for when I am weak, then am I strong" 2 Cor

JaSanne

Veteran Member

Joined : Oct 2006

Posts : 2082

Posted 9/8/2016 4:43 AM (GMT -7)

If you've been on 40mg for 8 days with no tapering, I think the prednisone should have lessened your symptoms by now. Scifigal2k's suggestion to look for another cause for not improving is a good one - an underlying infection while on corticosteroids can get worse instead of better.

56 yr. old--CD over 44 yr. Hemi-colectomy '01; spinal cord injury '01; fistulae since '97; enteropathic arthritis, chronic pain, muscle spasms, scoliosis, rotator cuff injuries

vitaka

Veteran Member

Joined : Jun 2006

Posts : 909

Posted 9/9/2016 7:02 AM (GMT -7)

Generally, I would have expected to see some improvement by now, definitely by two weeks in.

One suggestions is to keep a symptom journal to more accurately track symptoms day to day. This would give you a clearer idea of progress (or lack of) you're making. If your symptoms don't get better on Entyvio + 40mg pred, there's likely something additional going on, so I also agree with scifigal's suggestion.

30s F. Crohn's ileocolitis dx 2/06. Arthritis dx9/09. Asthma dx4/13. Raynaud's. Chronic headaches/migraines.
Current IBD treatment (as of Aug16): Entocort & Pentasa. Past: Remicade
On Botox regimen for migraines.

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