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Severity of inflammatory bowel disease

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The features classification listed has been designed to assess the severity of ulcerative colitis. However it may also be used as a general guide in assessing the severity of Crohn's disease.

Mild - features include bowel motions < 4/d, little or no rectal bleeding, no signs of systemic disturbance e.g. fever, tachycardia, raised ESR, anaemia

Moderate - 4-6 liquid bowel motions per day, moderate rectal bleeding, signs of systemic disturbance (e.g. fever, tachycardia)

Severe - more than 6 liquid bowel motions per day, severe rectal bleeding, fever, tachycardia, abdominal tenderness, raised ESR, signs of malnutrition such as hypoalbuminaemia, weight loss in excess of 10% of pre-morbid weight

Reference:

  • MeRec Bulletin (2000), 10 (12), 45-8.

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