I asked the IBD doctor about long-term rectal cortisone

I was referred to an IBD specialist for the first time and asked the busy doctor about possible tissue changes from using hydrocortisone enemas and Uceris Foam for more than a year. As others have reported it can be tough to back away from these topical medications. Yet we are told that tissue thinning can happen and it's a good idea to taper. Usually dosages are measured in weeks.
The doctor did not seems too concerned but didn't actually give a detailed answer. It was kind of like, "Oh ya, you should taper, but our goal here is to get you into remission."
So I would not take this as a final answer but ask some more experts. It would be good to know if anyone has seen this tissue-thinning side effect and if there are any typical symptoms.
For remission (easier said than done) she is suggesting a higher dose of oral mesalamine: balsalazide since I can't tolerate the full dose of Lialda or Apriso. If that doesn't work, then Entyvio.
A couple of people here asked me to seek an opinion. Sorry I didn't get a satisfying answer, but it's a start.

I asked my doctor about the uceris foam I ask him how long can I take it on the box it says to take it for six weeks he mentioned I can take it longer last year I was on it for about 3 months worked well once I stopped my symptons came back in a bad way I went on steroids for about 3 months and I started taking bupropion briggs protocol it worked for a while with out being on steriods but this last week my symptons are coming back I had a extra box of uceris from last year I just started using it again I m hoping to catch it early Im taking lialda uceris foam and bupropion and canasa and im going to try scd diet again Financially mentally and physically this disease is draining me