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Typical flare symptoms Diarrhoea, often with blood or mucus Urgency — a sudden, hard-to-control need to pass stool Tenesmus — the feeling of needing to pass stool even when the bowel is empty Lower abdominal cramping, often relieved briefly after a bowel motion Waking at night to pass stool Tiredness that is out of proportion to your activity Signs that a flare may be severe Some flares are more serious and need urgent medical attention rather than waiting for a routine appointment