Question

A 45-year-old man with long-standing ulcerative colitis complains of increased bowel motions and rectal bleeding for the past week. He is stable and systemically well. Which is the most appropriate treatment escalation?

Accepted Answer

Topical mesalazine (enema or suppository)

Answer

Oral mesalazine (5-ASA)

Answer

IV hydrocortisone

Answer

Biologic therapy with infliximab

Answer

Loperamide

Practice question

A 45-year-old man with long-standing ulcerative colitis complains of increased bowel motions and rectal bleeding for the past week. He is stable and systemically well. Which is the most appropriate treatment escalation?