A 54-year-old man with long-standing ulcerative colitis limited to the left colon presents with increased stool frequency and rectal bleeding over the...

Question

A 54-year-old man with long-standing ulcerative colitis limited to the left colon presents with increased stool frequency and rectal bleeding over the past week. He is afebrile and haemodynamically stable. Colonoscopy 6 months ago confirmed mild disease. What is the most appropriate initial pharmacological treatment for this flare?

Accepted Answer

Rectal and oral mesalazine combination therapy

Answer

Oral mesalazine alone

Answer

Long-term oral prednisolone 25 mg daily

Answer

Start azathioprine immediately

Answer

No treatment; observe only

au-amc MCQ (SBA): Ulcerative colitis flare