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IBD flare NSAID avoidance — GPhC CRA MCQ

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ModerateGI TherapeuticsIBD flare NSAID avoidanceGPhC CRA

A patient with ulcerative colitis asks to buy ibuprofen for joint pains during a suspected bowel flare. He has increased stool frequency and rectal bleeding. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Avoid ibuprofen and seek medical review for the flare and pain management

NSAIDs may worsen inflammatory bowel disease activity and can increase gastrointestinal bleeding risk. The patient's symptoms suggest a flare requiring medical review. Gastroprotection does not remove the risk of exacerbating IBD. Analgesia should be discussed with the prescriber, often with paracetamol as a safer simple option if suitable.

Reference: BNF; NICE CKS