Hi...you should also enquire about
rectal meds to help heal the rectum and into the sigmoid.
You have pancolitis, and only on meds since November....not complete meds from my perspective.
Eventually you'll develop a pattern of going....a lot does have to do with how much waste is being processed in your digestive tract and what kind of food you're eating....etc.
I sure don't suggest prednisone.....see if you can at least get the help from 5ASA meds...again, to help the rectum heal or at least to get the inflammation down to help with the urgency, etc.
You could add a fibre supplement to also aid in bulking up the stool, that will slow it down a teeny bit.....as well, an antispasmodic will possibly help with some of the urgency at night.
Hang tough, get on a good 5ASA med regimen..oral/rectal....and now that you're on 6MP, that can hopefully get the reaction down a bit so that your healing can continue.
As well....UC starts at the rectum and continues upward....but heals downward, so the rectum is also the last to heal.
Your recent bout with PSC may not be helping matters, and you have to heal from the biopsy and ERCP...again, maybe increasing the reaction considering both UC and PSC are autoimmune
*Heather* Status: mild flare enemas tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux); Effexor XR 75mg(depression); Pulmicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!