I know when I had a terrible flare for UC and needed to go to the hospital, I contacted my GI doctor, first. Thankfully, he was doing "rounds" in the hospital at the time, so I was able to receive specialized treatment. If he hadn't been doing rounds, another GI doctor would have assessed my flare. I don't know anything about A&E where you live. All I know is that in the US, most Emergency Room physicians are not specialized. Are you able to contact your GI when you have a flare? Are there GI staff that are "on call" at different hours of the day? If so, I would go that route and inquire as to whether you should go to A&E. Again, I apologize for not knowing how your medical care system works where you live. Hopefully, other people with more A&E experience will chime in here. I'm so sorry you are experiencing such pain. Please stay in touch and let us know how you're doing. Thinking of you! --Traci, UC-IBD Team Member