Question

A 45-year-old man presents with rectal bleeding and altered bowel habit. Colonoscopy confirms ulcerative colitis limited to the rectum and sigmoid colon. Which is the recommended first-line treatment for mild-to-moderate proctosigmoiditis?

Accepted Answer

Topical (rectal) 5-ASA in combination with oral 5-ASA if needed

Answer

Oral prednisolone

Answer

5-ASA suppositories alone

Answer

Oral mesalazine only

Answer

Immunomodulators (azathioprine)

Practice question

A 45-year-old man presents with rectal bleeding and altered bowel habit. Colonoscopy confirms ulcerative colitis limited to the rectum and sigmoid colon. Which is the recommended first-line treatment for mild-to-moderate proctosigmoiditis?