When is GP consultation recommended for ulcerative colitis?

Ulcerative colitis is inflammation affecting the lining of the large bowel. It may cause diarrhoea, blood or mucus in the stool, urgency, abdominal cramps and tiredness. Symptoms can overlap with infections and other bowel conditions, so a GP may ask about their duration, examine you and arrange blood or stool tests. A person with an established diagnosis may need a different plan during a flare.

Keep a note of bowel frequency, blood or mucus, pain, temperature, fluid intake and any recent travel, antibiotics or infection exposure. Continue prescribed treatment unless a clinician tells you otherwise, and drink regularly to reduce dehydration. Bring your medicine list and mention pregnancy, other conditions or a previous diagnosis of ulcerative colitis.

Seek urgent help for heavy or persistent rectal bleeding, severe or worsening abdominal pain, a swollen abdomen, repeated vomiting, faintness, confusion, high fever, or inability to keep fluids down. A rapid deterioration in someone with known ulcerative colitis needs same-day medical attention rather than waiting for symptoms to pass.

Ask whether your symptoms suggest a flare or another cause, which tests are appropriate, how to manage fluids and medicines, when specialist review is needed, and what personal warning signs should prompt urgent care.