The problem with many doctors is that they prescribe pred first-line.
Too bad...but it's cheap and patients usually feel really good once initially on it. It's an easy way to treat...but not for any long-term effect.
Really, you should be on oral and rectal meds...5ASA if you can use them...lower dosages to start and increase if you need them.
Alternative supportive supplements can be used.....but remember that there is NO CURE.
Some patients are misdiagnosed....some patients have more than one thing going on that can mimic UC.
It shouldn't be a guessing game...if you are properly diagnosed and have a set-up of meds that you can also control during flares and taper to maintenance...that's a good way to start and hopefully keep you going for a very long time.
In saying allllll that, not all patients can use 5ASA meds...but in part I would blame doctors for starting patients off on pred plus too high dosages of 5ASA meds, as well as neglecting to use rectal meds.
There are options.
You have choices...try not to allow your skeptisism to alienate good sense and practicality for your future of dealing with a CHRONIC disease.
Get reallly smart about UC, its meds (options) as well as what you are doing yourself with diet, supplements, stress levels, support...etc.
Joke.....what do they call the med student that graduated at the bottom of the class? Doctor!
Not all doctors are good doctors......but not all patients are good patients.