Would you consider this remission?

Hi there! I've hardly posted here, so I apologise for the long story that follows, but figured it would be useful to explain things a bit.

So I was diagnosed with Ulcerative Colitis in April 2014, after which a course of Prednisone and Pentasa put me back into remission for a couple years. Last year, however, things started to turn sour. Long story short, I went through a number of medications, only to have them fail on me and land me in the hospital 3 times for a week or longer each time. After my most recent hospital stay in October 2016, the Remicade that I had been taking since May 2016 started to fail me. I got switched to Humira in March 2017 after developing antibodies to Remicade and having a troublesome reaction to Entyvio, to which I have refused to take it ever since. I improved pretty drastically when I first started Remicade last year, but I haven't seen the same kind of improvement with Humira. I've read that it can take a bit longer to react to Humira in general, but I'm at a point now where it's been 10 months of use, along with an increase in dosage (I'm currently taking 2 pens @ 40mg each week), but I'm still experiencing symptoms.

When things were at their worst last year, my symptoms were pretty much constant bleeding, some urgency, pain, fatigue, 10-20 times per day, the whole shabang. However at the moment, I'm still experiencing 10-15 washroom trips a day (also waking me up every couple hours a night), with severe urgency (to the point where I literally have seconds to get to a toilet), similar symptoms except I'm not passing blood as much. Don't get me wrong, there's still blood every now and again (most often when I try to leave the house and my anxiety shoots through the roof), but not nearly to the same degree as it has been.

I'm just a bit confused. I've been told by my gastroenterologist that the inflammation has greatly improved (as per a scope back in August), but some of these symptoms linger, and are quite frankly, debilitating. Does this sound like remission? Flare? Some kind of simmering, in-between state?

Thanks for any and all feedback!

"Would you consider this remission?" If you have to ask then the answer is almost always no. Remission means you're totally free of UC symptoms and worries, you don't think of UC and have a good quality of life.

After 10 months, humira isn't enough at least on it's own. You might need azathioprine in addition, and/or Mesalamine. Combination therapy is the best way to treat a UC.