IBD flareup

Data gathering

  • Red flags – fever, blood, no motions, weight loss
  • Others – travel, unusual foods
  • Examine – pulse, BP, temperature, CRT, abdomen, PR

 

Clinical management

  • Investigations
    • Bloods – FBC, U+E, CRP
    • Stool culture
  • Treatment
    • UC – mesalazine – enema or increase oral dose
    • Crohn’s – PO steroids
  • Followup / Safety-net
    • Discuss with gastro re admit/urgent outpatient