WorrywartNana - from another Nana - I have four grands - one is a teen. I can't imagine her dealing with this. He is lucky to have you to help him if only for support.
Procotosigmoiditis is mostly in the rectal area and up the left side about a foot! No other part of my colon is involved but it is UC in a mild to moderate form. The only reason I am not on the mesalamine drugs like Asacol is because I cannot tolerate them. I got the flu-like symptoms - stopped them all, called my doctor and told him I was not taking them anymore. He did another sigmoid test and prescribed the prednisone and 6MP. My flu-like symtoms totally went away in a couple days after stopping but the bleeding and other UC symptoms came back with a vengenance so I had to do something.
Today not bad and after adding the rectal suppositories I think that part is getting better. However, not in remission yet! I am on 20 mg. prednisone until next week and then down to 15mg. If symptoms (mucous/blood, etc.) is not better by then I will call my NP for instructions. Have to keep in touch with your doctor or other health care provider. There is certainly something he/she can do for him. I would not let it go too long - staying proactive - take him to emergency or urgent care, whatever it takes. He is so young. It may take a while for those sores, etc. to subside but they should be getting better.
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.