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IBD flare red flags — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsIBD flare red flagsGPhC CRA

A patient with ulcerative colitis asks for loperamide. She has six bloody stools per day, fever and abdominal tenderness. What is the most appropriate action?

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Correct answer: BRefer urgently for assessment of a significant flare

Frequent bloody stools with systemic symptoms and abdominal tenderness suggest a significant ulcerative colitis flare. Antimotility drugs may be unsafe in severe colitis and urgent assessment is required. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: NICE CKS; BNF