To answer your question bluntly, the answer is simply no. Just because your GI doc diagnosed chronic UC it does not mean your colon will always be inflamed. When a doctor does a look with a colonoscopy and takes biopsies he/she is looking at your colon at that particular point in time. If you can get your immune system to quiet down, whether it's through meds or through diet, your tissue can heal and your colitis will be gone. I myself had chronic colitis which just basically means that the colitis is of long duration and it's been there for a long time. I found my success with the help of Imuran. Asacol didn't do anything for me and allowed my colitis to worsen. Imuran healed my colon and made my colon 98% normal. Before Imuran it was chronic and throughout my entire colon. Now it's mild and limited to my rectum with all the other areas being normal. I have added canasa to hit that last spot of inflammation.
I hope this helps.
39 Year Old Male, Dentist
Dx: Ulcerative Colitis 1996 via colonscopy and biopsy. Pancolitis with chronic and moderate inflammation.
Started UC around 92.
Past Meds: Asacol and occasionally Prednisone
Have had 6 colonscopies throughout my hx with UC.
Current Meds: Imuran, started with 200 mg and recently lowered it to 150 mg
Most recent colonscopy 2009 after 6 months of Imuran, colon is 90% healed
Currently in remission