Question

A 28-year-old patient presents with bloody diarrhea and left-sided abdominal pain. Colonoscopy is consistent with ulcerative colitis limited to the distal colon. According to NICE guidelines which medication is recommended first-line for mild to moderate distal ulcerative colitis?

Accepted Answer

Aminosalicylate enemas 5-ASA

Answer

Oral corticosteroids

Answer

High-dose intravenous steroids

Answer

Thiopurines e.g. azathioprine

Answer

Biologic therapy e.g. infliximab

Practice question

A 28-year-old patient presents with bloody diarrhea and left-sided abdominal pain. Colonoscopy is consistent with ulcerative colitis limited to the distal colon. According to NICE guidelines which medication is recommended first-line for mild to moderate distal ulcerative colitis?