Crohn disease Quiz: Ace Your Exams

 A 29-year-old man comes to the office with complaints of frequent loose stools and abdominal pain. He started having these symptoms a month ago, and they did not respond to over-the-counter antidiarrheals. He became concerned when he noticed an increase in urgency and a small amount of blood admixed with mucoid stools yesterday. Past medical history is noncontributory. He has not recently travelled outside the country. Vitals are within normal limits. Physical examination shows mild abdominal tenderness in the left lower quadrant. Colonoscopy shows erythematous rectal mucosa that is friable to touch, along with scattered ulcerations extending up to the distal part of sigmoid colon. The remainder of the colon and ileum are normal. The patient is provided a medication that inhibits the production of inflammatory mediators from both the cyclooxygenase & lipoxygenase pathways. Which of the following medications was most likely prescribed?