Actually if you ask most GI they will tell you mesamalamine is like prescribing aspirin for a brain tumor
Not going to hurt much but not going to help much either
Crohns affects the full thickness of the intestine
Ulcerative colitis only affects the top layer
Mesamalamine only acts as a cream to treat the top layer
Leaving all the other layers in treated
In a few Crohns patients it works
Most it does not work
The majority need an immunosuppressants minimum
These are 6-mp
Imuran and methotrexate
Ds like you started on mesamalamine at age 7
I was prettified
Cried so many tears
30 days later it still wasn’t working
Then switched to 6-mp (went to his liver )
Then methotrexate
Then remicade
Methotrexate worked for his gut but he has other issues (vasculitius and arthritis)
Which required remicade
Ibd can be pain free
The rectum is the last to heal and very stubborn
It will get better
You will find the right med
And then you won’t cone back here much
Did want to add immunosuppressants DO NOT MAKE you sick
Ds was on them since 2nd grade
Now going into high school and gets the least amount of colds etc out of all my kids
You only have to be careful if you get something like the flu
Then your more at risk for pneumonia
So flu shots all around and hand washing