Table 13.15 Open in new tab Assessing...

Table 13.15

Assessing the severity of ulcerative colitis

Severity	Symptoms
Mild	<4 liquid stools/d Little/no rectal bleeding No signs of systemic disturbance
Moderate	4–6 liquid stools/d Moderate rectal bleeding Some signs of systemic disturbance Mild disease that does not respond to treatment
Severe	>6 liquid stools/d Severe rectal bleeding Any systemic disturbance (↑ pulse rate >90bpm, pyrexia >37.5°C, ↑ ESR, ↑ WCC, ↓ Hb <10g/dL) Signs of malnutrition (e.g. hypoalbuminaemia <35g/dL) Weight loss >10%

Severity	Symptoms
Mild	<4 liquid stools/d Little/no rectal bleeding No signs of systemic disturbance
Moderate	4–6 liquid stools/d Moderate rectal bleeding Some signs of systemic disturbance Mild disease that does not respond to treatment
Severe	>6 liquid stools/d Severe rectal bleeding Any systemic disturbance (↑ pulse rate >90bpm, pyrexia >37.5°C, ↑ ESR, ↑ WCC, ↓ Hb <10g/dL) Signs of malnutrition (e.g. hypoalbuminaemia <35g/dL) Weight loss >10%