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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Ahmed Fawzy
11:44 pm

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 Arora
11:11 am

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..

Ayman Darrag
11:56 am

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,.