Going on vacation...mid flare!

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Regular Member

Date Joined Aug 2008
Total Posts : 35
   Posted 11/10/2008 5:37 PM (GMT -6)   
Hi Everybody,

I'm going on a 2 week vacation to the Philippines and China next week...but I'm in the middle of a flare, and I'm totally freaking out. I don't think it will be under control by then, and we have all these amazing activities planned.

I've never taken prednisone or anything more aggressive than my Asacols, cort enemas, and mesalamine enemas...I've always tried to "tough it out" even when I'm going 15 times a day with lots of blood and my doctor has suggested prednisone. I guess I'm just too scared of all the side effects I hear about and I've always been resistant to medication.

Would some of you more experienced folks suggest that I take pred to get things under control during my vacation? I really don't want to let my UC ruin our vacation for my family and myself -- it really will, I have no doubt about it. Would the side effects of the pred be worse than having a full out flare? Will my lowered immune system due to the pred cause me to get some stupid tropical disease and kill me? Dang, I hate UC so so much =(

31 yr old male
Diagnosed: 7/07 - UC - Pancolitis
Current Everyday Meds : 1 Canasa before bed; 2 Lialdas
"Emergency Meds": Cortenema when I feel a flare coming on

Regular Member

Date Joined Oct 2008
Total Posts : 22
   Posted 11/10/2008 5:54 PM (GMT -6)   
Aw, I am sorry to hear about your flare. that sounds really aggravating.
i've had good experiences with prednisone before and i would definitely recommend it. i didn't have any negative side effects and it helped my symptoms a lot. hope that helps.

on off enemas, hycosamine, prednasone

Veteran Member

Date Joined Mar 2008
Total Posts : 2855
   Posted 11/10/2008 5:58 PM (GMT -6)   
It works for me, and when you're flaring is worth the side effects. They have always been only temporary discomforts for me. And it can work quickly, so it sounds like it's the ticket for you. Let us know!
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Replete probiotic first, then Forte pills. 
Achieved remission for the first time in many, many years!? Seemed so, but colonoscopy Oct. 6 proved not so, heavy inflammation in ascending colon & will be using Rowasa again. But I AM better.

Veteran Member

Date Joined Nov 2006
Total Posts : 731
   Posted 11/10/2008 8:17 PM (GMT -6)   
you could try, but for me it took about 2 weeks to really start benefiting me.
hope you are able to have a good time!
29, happily married, stay at home mom to 3 year old son and new baby boy.
currently: possibly in a post-childbirth flare but not bad yet.
UC (probably pancolitis, but no c-scope yet), dx'd June 2006, started having major symptoms sometime in Jan 2006, about 3 months after childbirth. 2nd flare (minor) may 2007.

-Prednisone 8/28/06-2/28/07. and again may '07, 8 week course.
-Prayer! asacol, probio, ground psyllium husk, folic acid, cal-mag

may you live all the days of your life.

Veteran Member

Date Joined Jul 2006
Total Posts : 2105
   Posted 11/10/2008 10:04 PM (GMT -6)   
Lomitil, or another anti-spasmodic. Thats best thing you can do for yourself.
Proctitis DX 1999, Pancolitis DX 2008
Lialda 3 day
Vitamin E Enemas as needed

Regular Member

Date Joined Jul 2008
Total Posts : 94
   Posted 11/11/2008 11:49 AM (GMT -6)   
I would try prednisone,it is the only thing i have found (unfortunately) so far that keeps my UC under control. You shouldn't be concerned about your immune system unless you have taken it for a little while. For me it works within 24 hours and i have had very little side effects from it. HOWEVER try to take a short dose so that you dont' have a hard time tapering off.
Diagnosed with UC 3/2008
10mg Prednisone
75mg 6-MP
Calcium + Vit D
Entocort 9mg daily
800mg Asacol 3X daily

New Member

Date Joined Nov 2008
Total Posts : 7
   Posted 11/11/2008 2:15 PM (GMT -6)   
You'd have to be crazy not to. Pred can be very effective in knocking this out before it gets worse. I realise it may not always work but has been very effective for me over the years. I have never been on it long term. Arrest the inflamation asap.
See my post on hospital stay which I just post regarding IV steroids and you'll see what they do when its severe.

The long term effect if steroids and the short term effectiveness where they work for you should not be confused.
Age 37
Dx Proctitis - 1989
Dx - UC 1992 - Left Side Moderate
Dx - UC 1996 - Pan Colitis - Severe
Remission until 2005 (couple of mini flares inbetween)
DX - UC 2005 - Pan Colitis - Moderate Severe
DX - UC 2008 - 43 CM Moderate...
All of the above required a hospital stay and 5-7 days 4 X 100mg Steroids, Asacol and Prefoam Enema's (20mg).
I take predfoam for mini flares and rarely have had to take pred tablets inbetween remission
On Asacol 2 x 3 times per day since 2005

New Member

Date Joined Feb 2007
Total Posts : 16
   Posted 11/11/2008 4:53 PM (GMT -6)   
I'll go on my vacation next month. I odered prednisone to take it with me . I don't needed it now,but if I will not feel well It will help me. I wish it will help you too.
                    Carlos smhair

Regular Member

Date Joined Feb 2007
Total Posts : 436
   Posted 11/11/2008 5:04 PM (GMT -6)   
Prednisone is a lifesaver for me. I would definately use it for such a big vacation. Enjoy yourself over there! Remember you can always taper off it once you get back home. And the side effects aren't really noticeable for me...
FYI- my Doc never put me over 40mg of prednisone per day.
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