If you get your pics and they look like the pic I posted above with large, punched out ulcerations, that would be a concern. And if you see it in 2 straight scopes and it’s not looking better, the writing is on the wall to change treatment or take it up a notch. If you can get your scope pics emailed and can post them like I did mine, I will take a look and tell you what I think. I have seen tons of scope pics and know what acceptable level of inflammation looks like. But in the end it’s also quality of your life and response to treatment that matters most.