Ulcerative colitis flare-up relief

A flare is a period when inflammation in the lining of the large bowel becomes more active. You may notice looser or more frequent stools, urgency, blood or mucus, cramping, tiredness, or reduced appetite. Abdominal pain and diarrhoea can have many causes, so a change in symptoms does not by itself show how severe the bowel inflammation is. Your clinician may need to consider infection, medicine effects, or another bowel problem.

Relief is guided by your established plan. Some medicines are intended for regular control, while others are used during a flare. Do not stop, restart, or alter prescribed treatment without checking the instructions from your gastroenterology team.

Take medicines exactly as directed and contact your care team if your plan is not settling the symptoms. Sip fluids regularly, especially after loose stools; an oral rehydration drink may be suitable for some people. Choose small, nourishing meals that you can tolerate and avoid foods that you already know worsen your symptoms. Rest, keep a note of stool frequency and bleeding, and record fever, pain, medicines, and fluid intake.

Arrange a GP Consultation if symptoms are new, persist, or differ from your usual pattern. Bring your medicine list and symptom record so the clinician can decide whether tests or treatment changes are needed.

Seek urgent medical help for heavy or increasing rectal bleeding, severe or worsening abdominal pain, a swollen abdomen, repeated vomiting, faintness, confusion, inability to keep fluids down, or signs of dehydration such as very little urine. A high temperature with a marked worsening of bowel symptoms also needs prompt assessment. If you feel suddenly very unwell, use local emergency services.

Ask which symptoms should trigger a call, how to use your flare plan, whether your current medicines need review, and which fluids or foods are sensible for you. Ask when follow-up tests are needed and whether colorectal screening is appropriate for your history.