Posted 2/9/2018 12:15 PM (GMT -6)
Ah yes "remission" the word with many different qualifiers, definitions, and various interpretations. Everyone seems to have their own inclusions, exclusions, etc.
Our best prognosis (outcome) is when there are no (zero) signs of active inflammation from UC, as studies have shown that when we are in a complete/deep/quiescent remission that we have the longest remissions, least frequent and more moderate flares. If there's any signs at all of inflammation including microscopic-ulcers from inflammation as you describe, then you are not in that ideal state.
Should you jump to a class of much stronger medications because of microscopic-ulcers with no UC symptoms? No, probably not.
You could add mild medications to your current regiment to heal the very last bit that is very mild in severity. You could add rowasa/mesalamine retention enemas to your daily meds if those ulcers where in the rectum, sigmoid colon, or left-side. And/or you could up your generic Lialda to 4 pills a day to achieve the recommended 4,800mgs a day (2 pills a day is 2,400mgs).
You could wait and do nothing. The thing is you can very well continue to heal over the coming months into a complete/deep/quiescent remission without any intervention at all. Your colonoscopy was a snapshot in time, things can change for the better or worse going forward.