A 38-year-old woman with longstanding ulcerative colitis involving the left colon has increased stool frequency with blood and urgency. She is afebril...

Question

A 38-year-old woman with longstanding ulcerative colitis involving the left colon has increased stool frequency with blood and urgency. She is afebrile and haemodynamically stable. Laboratory tests show mildly elevated C-reactive protein but no anaemia. She has been on mesalazine alone. According to Canadian IBD guidelines, what is the most appropriate next step in treating this moderate flare?

Accepted Answer

Add oral prednisone

Answer

Increase mesalazine dose only

Answer

Start long-term broad-spectrum antibiotics

Answer

Immediately refer for colectomy

Answer

Stop mesalazine and monitor without treatment

ca-mccqe1 MCQ (SBA): Ulcerative colitis flare