Ulcerative colitis treatment includes medications like 5-ASA compounds which serve the purpose of topical anti-inflammatory agents. These are suitable for milder cases of ulcerative colitis. While cases of ulcerative proctitis and proctosigmoiditis are treated with Rowasa enemas. In severe cases, when a patient does not respond to ulcerative colitis medication then the choice of ulcerative colitis treatment involves prescribing systemic corticosteroids. They are very effective in such cases and act faster than 5-ASA compounds. However, they are not very useful in maintaining remissions and can result in grave side affects if administered for a long period of time.