UC flares

Diagnosis of UC: faecal Calprotectin can help diagnosis

Potential Sequelae:

  • Toxic megacolon
  • Sepsis
  • Perforation
  • Severe bleeding

Truelove-Witts Criteria

stratifies severity of disease

Acute Severe Colitis =

Bowels open more than 6 times a day

+

One of:

  • Hb < 105
  • ESR > 30
  • Pulse > 90
  • Temp > 37.8C

Moderate Disease =

6 stools a day (with or without blood)

Minimal systemic disturbance

Mild Disease

Less than 4 stools a day (with or without blood)

No systemic upset