17th July 2020

A 32-year-old male, with a 2 week history of colicky lower abdominal pain, tenesmus and worsening diarrhoea

A 32-year-old male, with a 2 week history of colicky lower abdominal pain, fatigue, tenesmus and worsening diarrhoea, presents to ED acutely unwell with a HR of 100 bpm, and pyrexial at 38℃. He has a chronic history of frequent bloody stools, for which he is being managed with aminosalicylates.

Haemoglobin is 10g/dl (normal range 13-18 g/dl), Erythrocyte Sedimentation Rate (ESR)  is 32 mm/h (normal range 0-15 mm/h). Abdominal X-ray is normal.

Please select the most appropriate drug to prescribe. Select ONE option from the list above.