Hi...welcome to the forum
I've never hit rock bottom or been hospitalised....but others certainly have and have recovered.
I wouldn't take the surgery as a threat as of yet unless something else is going on like toxic megacolon.
Your brother's doctor should have insisted on the importance of treatment/maintenance medications.....but it's not a guarantee that this wouldn't have happened to him.
Is your brother eating? That can be part of the cramping.
He can request an antispasmodic such as dicyclomine to help ease that.
It takes a while to get better...is he still on the Salofalk enemas? He can request to go back on them.
Hopefully others will come on who have experienced as your brother is....
It's wonderful you're a supportive sibling (brother or sister?>).
Do the research, educate your brother...and if he has access to the internet, maybe he can come on here for some info/support.
Keep us updated as to how he's doing.
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!