It doesn't sound like you have c diff.
Biologics, like Humira or entyvio, seem unnecessary from the symptoms you describe. That said, you are still on 15mgs of pred, which is a wildcard. Can you get off of pred without flaring and your current medications is an unknown. Continue the taper and see if you start having increased frequency, urgency, less formed, or the toilet water turns into a bloodbath which would necessitate stronger meds. If, however, you have no reoccurrence then you do not need a biologic. 50/50 odds of a guess being right *shrug*.
My New Hampshire gasteroenteroligist was very scope-happy, seemed I had at least a couple flex-sigs a year. In Vermont, I have been seeing this new doctor for for 7-months and no scope has been mentioned lol. I hate scopes, but understand that sometimes they do provide the best data. Just a matter of whether a recent FCP or CRP with your/my narrative is enough to tell what's going on without a darn scope (often it is I bet).
If you do get a scope, and it sees severe inflammation at 15mgs then stronger meds are a definite. Frankly, I'd be surprised if you had anything more than a very mild inflammation, right now. Based on what you describe.
No idea what the pain is from. Pain appears to be unrelated to UC inflammation, as high doses of pred won't touch it. Have you tried Dicyclomine/Bentyl for spasms? Spasms are painful, and Bentyl is often given to IBS patients who experience it. Do you have diverticulitis as that can cause pain?
Moderator Ulcerative Colitis
John, 39, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasaUrgency Roused "Oh the places I've pooed from culverts to shady bathrooms" the memoirs of a UC patient. Run, don't walk, to you local bookstore...
Post Edited (iPoop) : 11/8/2017 10:43:42 AM (GMT-7)