Question

A 30-year-old man with ulcerative colitis presents with frequent bloody diarrhoea and abdominal pain but is haemodynamically stable. Inflammatory markers are elevated. According to IBD guidelines, what is the most appropriate initial therapy for a moderate flare?

Accepted Answer

High-dose oral and rectal corticosteroids

Answer

Antibiotics alone

Answer

No treatment; observe

Answer

Immediate biologic therapy as first-line without steroids

Answer

Surgery as first-line

Practice question

A 30-year-old man with ulcerative colitis presents with frequent bloody diarrhoea and abdominal pain but is haemodynamically stable. Inflammatory markers are elevated. According to IBD guidelines, what is the most appropriate initial therapy for a moderate flare?