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IBD flare red flags — GPhC CRA MCQ

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HardGastro-intestinal TherapeuticsIBD flare red flagsGPhC CRA

A man with ulcerative colitis asks for loperamide because he has six bloody stools daily and abdominal pain. He feels feverish. What is the most appropriate action?

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Correct answer: A — Refer urgently for assessment of possible acute severe flare

Frequent bloody diarrhoea, pain and systemic symptoms in ulcerative colitis may indicate a significant flare requiring urgent assessment. Antimotility drugs can be inappropriate in severe colitis. NSAIDs can worsen GI disease and bleeding risk.

Reference: BNF; NICE CKS