A 40-year-old man with known ulcerative colitis presents with increased stool frequency, blood and tenesmus for 2 weeks. He is afebrile, Hb 120 g/L an...

Question

A 40-year-old man with known ulcerative colitis presents with increased stool frequency, blood and tenesmus for 2 weeks. He is afebrile, Hb 120 g/L and CRP mildly elevated. How should this moderate flare be managed?

Accepted Answer

Start high-dose oral corticosteroids and optimise 5-ASA; consider GI referral

Answer

No change to treatment; this is expected variation

Answer

Immediately start biologic therapy without GI input

Answer

Use NSAIDs for symptom control

Answer

Stop all therapy to avoid adverse effects

ca-mccqe1 MCQ (SBA): Ulcerative colitis flare

A 40-year-old man with known ulcerative colitis presents with increased stool frequency, blood and tenesmus for 2 weeks. He is afebrile, Hb 120 g/L and CRP mildly elevated. How should this moderate flare be managed?