I have been diagnosed with ulcerative colitis from 3 years ago and i tried different medications, please advise?

I have been diagnosed with ulcerative colitis from 3 years ago and i tried different medication like imuran asacol pentasa and prednisone they worked for a while but then they stoped being effective . Then the doctor started entyvio i tried 5 injections but the symptoms didn’t disappear. And lately i had a surgery for a perianal abcess and i have setons for fistulas . Now i am on simponi i took
2 injections and i am taking prednisone . Is there any advice ?

Age:21

Male

Medications: Simponi

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Dr Ahmed Fawzy
Member
Dr Ahmed Fawzy

Hi
Only two drugs you have not tried yet are Cyclosporine ( which has serious side effects ) and Vedolizumab
Your abscess and fistula suggests that doing proctocolectomy with a pouch would be the best choice
Good Luck

Dr.Honey
Member
Dr.Honey

Hi..
Thanks for the query..

Can you please tell that is there any improvement with Simponi and Prednisolone??
Can you please get a Barium swallow done and upload the latest reports?
Please revert back with answers..

Regards..

Dr. Ayman Darrag
Member
Dr. Ayman Darrag

I see you are well managed however i recommend asking your doctor about prescribing remicade as a tnf inhibitor it can be helpful for your inflammation,.

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