“I need help with my colitis.”
“Really? I thought we had things pretty well controlled.”
I hadn’t seen her in the better part of a year. I remembered how hard it had been to get her ulcerative colitis into remission. How sick she had been, how miserable her life was. There was a bit of trial and error in the office, followed by a hospitalization for intravenous steroids, then a tapering dose of prednisone and a transition to budesonide, a steroid who’s metabolism greatly limits many of the nasty side effects of prednisone. And she had lots of prednisone side effects: swollen ankles, blood pressure creeping up, moody, couldn’t sleep, acne. That had all slowly faded when she transitioned to budesonide and a 5-ASA agent (a nonsteroid medication for colitis).
“Are the medicines not working anymore?” I asked.
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