How do they grade a UC flare

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Shelliesv
Regular Member


Date Joined Apr 2009
Total Posts : 208
   Posted 4/10/2009 11:54 PM (GMT -6)   
What constitutes a minor flare, a moderate flare, and a major flare? Just curious!
Diagnosed with Ulcerative Proctitis at 24 years old 1995/ Ulcerative Colitis in 1998.
In remission from 2005 - 3/2009.

Hospitalized for flare 3/2009.

Current Meds: Apriso 4/day, Prednisone 40mg per day, Rowasa Enemas 2/day, Culturelle


Red_34
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Date Joined Apr 2004
Total Posts : 23551
   Posted 4/11/2009 6:17 AM (GMT -6)   
It depends on mainly how many times you are going to the bathroom. I think I have it in the resource section of this forum but if you go 1-5 time with other symptoms such as bleeding,urgency, pain etc then this is a mild flare, 5-10 times is moderate and 10+ a day is severe. Or something like that.
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fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 4/11/2009 9:08 AM (GMT -6)   
This is from a wikipedia article:

Mild disease correlates with fewer than four stools daily, with or without blood, no systemic signs of toxicity, and a normal erythrocyte sedimentation rate (ESR). There may be mild abdominal pain or cramping. Patients may believe they are constipated when in fact they are experiencing tenesmus, which is a constant feeling of the need to empty the bowel accompanied by involuntary straining efforts, pain, and cramping with little or no fecal output. Rectal pain is uncommon.
Moderate disease correlates with more than four stools daily, but with minimal signs of toxicity. Patients may display anemia (not requiring transfusions), moderate abdominal pain, and low grade fever, 38 to 39 °C (99.5 to 102.2 °F).
Severe disease, correlates with more than six bloody stools a day, and evidence of toxicity as demonstrated by fever, tachycardia, anemia or an elevated ESR.
Fulminant disease correlates with more than ten bowel movements daily, continuous bleeding, toxicity, abdominal tenderness and distension, blood transfusion requirement and colonic dilation (expansion). Patients in this category may have inflammation extending beyond just the mucosal layer, causing impaired colonic motility and leading to toxic megacolon. If the serous membrane is involved, colonic perforation may ensue. Unless treated, fulminant disease will soon lead to death.

However, I didn't really fit into any category. I had upwards of 20 episodes of urgent diarrhea a day, but I never had fever, pain, or tenesmus.
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa nightly, 40mg 30mg 20mg 15mg 10mg of Prednisone (quick taper), Culturelle probiotic, and Zoloft (25 mg).


Deacon Blues
Regular Member


Date Joined Oct 2006
Total Posts : 304
   Posted 4/11/2009 10:49 AM (GMT -6)   
Great topic question!!! I have considered myself in a good remission for over 2 years! I have however gone through small periods of frequent bowel movements. I guess by the clinical definition I may not be in a full remission, but am doing pretty well. This morning I would say that I am in a mild>moderate flare. Tenesmus!! First time I have seen this term and I DO have this presently, I guess...kinda like bowel convulsions...anyway, I don't want to derail this thread. THanks for asking the question as to "rating" flares.
Dan
Diagnosed with UC in Dec of 1999
PANCOLITIS-mild to moderate (remission for 2 years +!!)
3X400mg Asacol 3x per day
Mild flares a couple times a year
46 yrs old


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 4/11/2009 1:14 PM (GMT -6)   

There's a chart in this link re;rating flares...

http://faculty.washington.edu/momus/PB/ibd.htm

 

:)


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


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 4/11/2009 7:19 PM (GMT -6)   
Number of night time bms factors into the severity as well.
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  yo-yoing between remission and a mild flare
Lialda 4 per day,  Azathioprine 50mg, Aciphex, Effexor XR, Forvia, Fibercon, and Culturelle
Remicade: 1st infusion 06/17/08:  Next infusion: April 1 after the tooth infection is gone :(
Last Prednisone dose:  7/15/08
 
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