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IBD flare red flags — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsIBD flare red flagsGPhC CRA

A patient with ulcerative colitis asks for loperamide because of worsening bloody diarrhoea and abdominal pain. He feels feverish and has passed stool eight times today. What is the most appropriate action?

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Correct answer: D — Refer urgently for assessment of a possible severe flare

Bloody diarrhoea, systemic symptoms, and frequent stools suggest a significant inflammatory bowel disease flare. Antimotility medicines may be unsafe in severe colitis and the patient needs urgent assessment. NSAIDs can worsen gastrointestinal risk and should not be recommended here.

Reference: NICE CKS; BNF