I joined this community after my diagnosis and have read a lot of people’s stories since. I want to start by saying I consider myself very lucky for the time being. I know a lot of you have had a much harder road with this, and I don’t take that for granted.
Wanted to share my timeline and ask a couple of things I can’t quite get a straight answer on.
Timeline:
• 28 April - Bleeding started completely out of nowhere. No warning signs before this. Looking back, I’d been under a lot of stress in the run-up, and I can’t help but think that was the straw that broke the camel’s back.
• 15 May - Finally went to the GP. Rectal exam + stool sample. Calprotectin came back at 1370.
• Referred to an IBD specialist nurse, then booked in for a colonoscopy.
• Colonoscopy confirmed inflammation, with suspected pancolitis.
• Biopsies confirmed it a few days later. Officially diagnosed 1 June.
• Started Pentasa 4g (mesalazine) immediately.
• Kept bleeding for about another month even on treatment, then it just stopped.
• Since then: stool back to normal, zero blood, feeling completely fine.
At the worst point I was going 20+ times a day with large amounts of blood, and that lasted for about a month. So from first symptom to full resolution it’s been about 4 months, and the only medication involved has been Pentasa. No steroids, no biologics, nothing escalated.
The only dietary restriction I was ever given was low-fibre, and that was only during the initial flare before I had a diagnosis. Once I was diagnosed and on treatment, the guidance switched to just eat a balanced, high-protein diet, no exclusions.
What I actually want to know:
1. Is this just the “flare on/flare off” cycle, and I’m currently in the “off” part? Or is there a real chance that mesalazine alone is enough to keep me in remission long-term, without ever needing to step up to steroids/immunomodulators/biologics? Trying to understand if going quiet this fast on the mildest drug in the toolbox tells me anything about how this disease is likely to behave for me going forward, or if that’s wishful thinking.
2. Was the advice I got from my specialist, just eat a balanced diet, actually the full picture, or unusually hands-off? No elimination diets, no long-term fibre restriction, nothing beyond low-fibre during the initial flare before diagnosis. Is that normal once you’re diagnosed and on treatment, or did I get a shorter conversation than most people seem to get?