I am going to have a knee replacement BUT my surgeon and gastro doctor say that the only problem is I am now on immune suppressant 6MP which can cause a bigger chance for infection - especially with joint surgery. My doctor wants me to get into remission - tapering prednisone (that is not a problem) and upping doseage of 6MP - get into remission (may take 3 to 6 months) and then drop the 6MP - raise prednisone to protect me (as you said ) while surgery and rehab and reintroduce 6MP for maintenance. All the time they keep a close watch on your WBC so you won't get an infection. It is complicated to explain but my doctors are working together. Maybe I can have the knee surgery end of summer - I hope.
Senior - New diagnosed with proctosigmoiditis - 6/2008 Cannot tolerate mesalamines, Canasa, etc. Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred.
Started on prednisone Feb.7, 2009 - tapering to 20 mg. for two more weeks and then down to 15 mg.etc. Added 6-MP Feb. 28.
Added Anusol suppositories - March 16 - see doc in 3 months.
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.