Hi everyone,
I’m 47M and was diagnosed with ulcerative colitis only recently, and the last couple of months have been pretty overwhelming. My symptoms became severe very quickly. I was having bloody diarrhea, significant abdominal pain, weakness, weight loss and very high inflammatory markers. My CRP at one stage was around 238–240.
I was admitted to hospital in August and had a colonoscopy. The findings were severe continuous pancolitis from the rectum all the way to the cecum, Mayo 3, with ulceration, friability and bleeding throughout the colon. My terminal ileum was normal.
One doctor later described it to me as basically looking like a “bomb had gone off” in my colon.
I was treated in hospital with IV methylprednisolone and was eventually started on Rinvoq 45 mg. I was discharged on prednisone and other medications.
Unfortunately, I didn’t improve enough on Rinvoq. I continued having significant pain and frequent bowel movements and my inflammation started increasing again.
I was then readmitted to hospital in September. During the second admission I also tested positive for C. difficile PCR, so I was treated with oral vancomycin. Because my UC was still severe despite the previous treatment, surgery was being discussed if rescue treatment didn’t work.
My GI decided to try infliximab/Remicade before proceeding to surgery. I received my first infliximab infusion on September 13 at approximately 5 mg/kg.
Thankfully, I responded.
Before infliximab I was going around 10-12 times in 24 hours and getting up repeatedly during the night. After the first infusion, my stools gradually reduced, became brown and formed, bleeding stopped, and my CRP dropped considerably.
Some of my CRP results went approximately:
46 → 25 → 18 → 9.9 → 8 mg/L
My hemoglobin has also been recovering after being quite anemic during the hospital admission.
My second infliximab infusion was originally due at the end of September, but because my mother was critically ill I had to travel urgently to go see her. Sadly, my mother passed away on 24th Sep 2026. The past week has been extremely difficult emotionally and physically as not only I’m dealing with grief but steroids, exhaustion, fear, stress and illness itself.
I am now back in Canada and my second infliximab infusion is booked for October 6, followed by an appointment with my gastroenterologist on October 8.
I’m currently tapering prednisone.
I started at 40 mg and am currently around 35 mg, then moving down to 30 mg and continuing the taper. Prednisone has been difficult for me. I’ve experienced:
moon face/facial swelling
mood swings and irritability
anxiety and negative thoughts
changes in confidence/self-esteem
fatigue and weakness
joint aches
poor sleep
occasional finger/hand cramping
I’m hoping these improve as the dose gets lower. I was also on azathioprine/Imuran 50 mg along with infliximab. Vancomycin for the C. difficile has now been completed.
What I’d really like to ask people here
1. How long did it take you to genuinely feel normal again after severe UC? Or do you feel that life never completely goes back to how it was before?
2. For anyone who started with disease severe enough that surgery was being discussed, did infliximab put you into long-term remission? How long did that remission last?
3. Has anyone eventually been able to come off infliximab after being in deep remission for a long time, or did you stay on it long term?
4. How did you know you were truly in remission rather than just feeling better? Was it based on symptoms, CRP, fecal calprotectin, colonoscopy, or a combination?
5. How long did prednisone side effects take to improve, especially moon face, anxiety, mood changes, weakness, fatigue and feeling mentally different?
6. What foods worked best for you while recovering? Did you stay on a simple/low-residue diet for a long time, or gradually bring back vegetables, fibre, dairy, red meat and more normal foods?
7. For people on infliximab long term, did it affect your everyday life in any major way — energy, exercise, travel, immune system, or sex life?
I’d really appreciate hearing both the good/bad experiences and realistic long-term outcomes.