What is the difference between mild, moderate and severe UC?

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NMcP
Regular Member


Date Joined Mar 2008
Total Posts : 212
   Posted 7/1/2008 3:25 PM (GMT -6)   
What is the difference between mild, moderate and severe UC? what criteria is used for rating it?
Age: 48
location: Seattle, Wa
Diagnosed with UC in June 2006
Medications: Asacol 2 pills 3 x/day, Canasa supps
Supplements: vitamins, probiotics
No. of colonoscopies: 1
Originally diagnosed with moderate UC, pancolitis


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 7/1/2008 3:44 PM (GMT -6)   
I suppose it's the amount of inflammation/ulceration. The amount of intestine affected might be included but you can have "mild pancolitis" or "severe proctitis" so I don't know. It was always the biopsies that came back and told the doctor whether I had moderate or severe disease. Here is what I found in regards to the criteria:

Mild = less than 4 stools a day with/without blood, normal sed rate, no signs of toxicity
Moderate = greater than or equal to 4 stools a day, minimal signs of toxicity
Severe = greater than 6 bloody stools/diarrhea, with fever, tachycardia, anemia, or elevated sed rate
Fulminant = more than 10 stools/diarrhea, continuous bleeding, toxicity, abdominal tenderness/distension, transfusion requirement, colonic dilation on x-ray
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of the spine from long term prednisone use.

Current Meds:
10mg Lexapro (for depression/social anxiety)
Digestive Advantage: Crohn's and Colitis formula (2 pills per day, started 5/14/08)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
 
 
 


Got2Believe
Regular Member


Date Joined Feb 2007
Total Posts : 436
   Posted 7/1/2008 3:58 PM (GMT -6)   
1 month after my first initial flare i was going only once per day of bloody D without any pain or other symptom and my doc said the biopsy's of colonoscopy showed "severe" pancolitis, so I figure it is all about the biopsies.
                                                                                         
28/M/TX single parent of gorgeous 2.5yo girl (revised 5/8/08)
Severe Colitis (pancolitis) since January 9, 2005
currently:  6th week flaring;improving; 2bm/day; very little blood
RX/day:  Currently 10mg of prednisone per day. Lost job and insurance 10/2007 and stopped taking asacol and Imuran cold turkey
OTC: seldom use VSL#3, vitamins & other natural treatments
Diet: SCD helps tremendously, but am not strictly on it.
Other: food combos, enzymes, good posture, chewing more, etc.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 7/1/2008 4:04 PM (GMT -6)   
There's likely a finer line between mild and moderate compared to either and severe, I think it goes by level of inflammation when measured more so than symptoms in the eyes of doctors at least.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


hana24
Regular Member


Date Joined Dec 2007
Total Posts : 354
   Posted 7/1/2008 4:09 PM (GMT -6)   
My doctor said I looked like the mildest case he had ever seen but I can go anywhere from 6-15 times a day when I'm flareing.
Jessica 26/F 30mg pred
dicyclomine 10Mg as needed
Citalopram 20 MG
Culturelle once daily
omeprazole(for acid reflex)
Tried (Entorcort EC 9ml/day and Prednisone, Asacol ,colazal)


enjoyingnow
New Member


Date Joined Jun 2008
Total Posts : 8
   Posted 7/1/2008 6:14 PM (GMT -6)   
I actually asked my doctor this question and he told me it all depends on what they see in the colonoscopy. My doctor showed me the pictures of my colon, and it was not pretty. It was very very red, you could see the bleeding and the ulcers. Because everyone reacts different to the actual colitis it can only be determined how bad your colitis is by the photos. For example some people may have minimal bleeding and redness, but may go to the bathroom 15X a day, while others could have severe UC and their symptoms may not be so extreme.
I hope that helps. It helped me understand it a little more :)

enjoyingnow
Diagnosed with Ulcerative Colitis April 2008
Meds: Mezavant, Vital Greens
Status: no change


Mark & Megan
Regular Member


Date Joined Jun 2008
Total Posts : 89
   Posted 7/1/2008 8:50 PM (GMT -6)   
As far as I know, severe means hospitalization and likely progressing towards surgery. I was severe, went down to moderate, back to severe and now I have a jpouch.
Mark & Megan
7 yrs UC to 1 year J-Pouch
Surgery Photo & Journal below: http://ucstory.wordpress.com/
We are updating regularly it isn't just the surgery photos but info all about UC, Surgery and IBD!

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