skip to main content

Bloody diarrhoea and loperamide — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGI TherapeuticsBloody diarrhoea and loperamideGPhC CRA

A 27-year-old woman asks for loperamide. She has diarrhoea, temperature 38.5°C, blood in the stool and cramping after returning from travel. She is drinking fluids but feels weak. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: DAvoid loperamide and seek same-day medical assessment.

Bloody diarrhoea with fever after travel suggests invasive infection or another serious cause. Loperamide may be inappropriate because it can worsen outcomes in dysentery-like illness. The patient needs clinical assessment and hydration advice.

Reference: NICE CKS; BNF