Hi Vonda..welcome to the forum!
If you're having such urges and go more than once in the morning, I'd say you still have some inflammation limited to the lower rectum. Are your bms formed or diarrhea?
You don't have to go on pred if you don't want to. I would suggest, however, you get your doc to prescribe a rectal retention enema such as Rowasa or if you're not in the US..Salofalk. That should help with the urges and reduce the inflammation in the rectum.
The other option is Cortifoam or colocort...steroid based enema.
Both are to be used nightly until you're "normal" then start to taper.
Consider that UC starts at the rectum and continues upward. It heals backwards and the rectum is always the area to have the most inflammation and will heal last. So, it's common sense to have a rectal med for treatment (in conjunction with the oral Colazal that you're on) and then tapered to a maintenance dosage.
I think that if your doctor tells you to lower the Colazal..make sure you do it one pill a week...or even one every two weeks. But DO start the rectal med at the same time.
My first suggestion would be for the 5ASA meds...and if they're not for you, then switch to the steroid. I'm not meaning prednisone here...the ones I'm suggesting are topical (although a very very small amount will be absorbed through the colon). Many have success with both..you just have to find what works best for you.
I forgot to add that you should definitely be on a probiotic. As well, a fibre supplement will help bulk the stool and help you a bit more control.
Hope this helps. Please consider the rectal meds.
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 4th night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!