My local doctor is always pushing steroids, but my Mayo doc has never thought they were necessary yet. Unfortunately, Mayo is 6 hours away, so I need someone that I can trust who is local. I would hold off until you are sure you need it. Last time my local doctor pushed prednisone, the Mayo doctor suggested that I try some of those fiber tablets. It worked! I'm not saying the answer is always that easy, but it seems like some doctors automatically go to the steroids without trying other options.