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IBD flare red flags — GPhC CRA MCQ

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HardGastro-intestinal TherapeuticsIBD flare red flagsGPhC CRA

A 32-year-old woman with ulcerative colitis asks for loperamide during a severe flare. She has bloody diarrhoea, abdominal distension and a temperature. She is waiting for a call back from her IBD nurse. What is the most appropriate action?

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Correct answer: C — Advise urgent medical assessment and avoid antimotility treatment

In severe colitis with blood, fever and distension, antimotility medicines can increase risk of serious complications such as toxic megacolon. The patient needs urgent medical assessment. NSAIDs may worsen gastrointestinal symptoms and are not appropriate advice here.

Reference: NICE CKS; BNF