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HardGIAcute severe ulcerative colitisuk-plab-1

A 29-year-old man with known ulcerative colitis presents with 12 bloody stools per day, tachycardia 110/min, temperature 38.2°C, and haemoglobin 100 g/L. Abdominal X-ray shows no perforation or toxic megacolon. What is the most appropriate initial management?

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