You can get some really substandard GIs, so even though a 2.5 hour drive is a massive pain up the arse, it would be worth it for better quality care. I could go 2 miles up the road to my local hospital for my IBD, but I drive an hour to a much better one instead.
Some people on this board are really down on going down to the ER, but don't be put off by them if your husband is seriously ill and in pain. It's rare, but UC can
have life-threatening implications if a toxic colon turns into toxic megacolon. You've mentioned fevers already, which in my experience is usually a sign of more serious disease (assuming, of course, the fevers don't have another cause such as an infection).
At any rate, a few years ago I went to A&E several times for flare-ups/pain so bad I literally couldn't function. It was never a waste of time for me. I was usually admitted, given fluids and painkillers, and put on IV steroids. It was also a handy fast track to tests; not that I ever went in for that reason but I was usually given at least one test, such as a CT scan or flex sig, while I was in there. One time I had a blood transfusion for severe anaemia.
Whenever I went to A&E they would take my temperature and do a blood test, the results of which took about
an hour to come back. I'm not sure if they do the same in the US for IBD patients who go to the ER. At any rate, if your husband's inflammatory markers are high enough that should be grounds for admittance.
Dx Crohn's in June 2000. (Yay )
Tried: 5-ASAs, azathioprine, 6MP, Remicade, methotrexate, Humira, diets.
1st surgery 20/2/13 - subtotal colectomy with end ileostomy.
2nd surgery 10/7/15 - ileorectal anastomosis. Stoma reversed and ileum connected to the rectum.
Current status: Chronic flare. Do I have any other kind?
Current meds: 50mg 6MP; Entyvio (started 3/11/16)