Posted 10/27/2017 4:50 AM (GMT -8)
It's going to be all over the map for folks: how often do you do labs and see your doctor? It depends on two big variables: what medications are you on (as some require more frequent monitoring than others) and how bad are your UC symptoms (we see our doctors frequently when flaring, and infrequently when in a remission).
When I'm in a remission, I see my gasteroenteroligist either annually or twice a year. When I am flaring I see my gastroenterologist every 6-8 weeks. In between those visits, I call into the doctors office and speak with the doctor's nurse when I'm not improving, have questions, etc. I'm on 6MP, so I get bloodwork done every 3 months, a necessity/requirement while on that drug. I get a Complete Blood Cell Count (CBC), Hepatic Function Panel (LFT), and a C-Reactive Protein (CRP) test done every 3-months. The CRP is for monitoring my current inflammation levels, which is a good non-invasive way to see if my UC is stable, getting worse, etc. The CBC and LFT are necessities for as long as I am on 6MP, to make sure my white blood cell (WBC) count doesn't unexpectedly plummet (6MP intentionally lowers my WBC count but it has to stay within a safe range and not get too low) and make sure my liver enzymes don't suddenly jump.
As you're on the meds humira and lialda, then I would think annual blood tests run by your family doctor or general practitioner would be perfectly fine. There is no required blood monitoring schedule for mesalamine and humira. It makes sense to check them as part of your annual physical.
Some gasteroenteroligists non-invasively monitor your UC through the CRP blood test, or through a Fecal Calprotectin (FCP) stool test. That can be done quarterly, twice a year, or annually. A lot of variability.