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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 for worsening diarrhoea, abdominal pain and blood in the stool. He is taking mesalazine regularly. What is the most appropriate action?

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

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Correct answer: D — Refer urgently because this may be an inflammatory bowel disease flare

Bloody diarrhoea and abdominal pain in ulcerative colitis may indicate a flare requiring clinical assessment. Antimotility drugs can be risky in severe colitis. NSAIDs may worsen gastrointestinal disease.

Reference: NICE CKS; BNF