Management of Acute Severe Colitis. Dr Jayne Eaden Consultant Gastroenterologist , UHCW. Symptoms. Bloody diarrhoea (urgency & tenesmus) Abdominal pain Weight loss Obstructive symptoms Abdominal mass (esp RIF). Warning Signs. Fever > 37.8 o C Dehydration
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Dr Jayne Eaden
Consultant Gastroenterologist, UHCW
Defines severe Ulcerative Colitis
Bowels open > 6 times per 24 hours
Plus any one or more of the systemic manifestations
-Mucosal islands present
-Dilated small bowel loops
After three days of intravenous hydrocortisone, the presence of
gives an 85% likelihood of requiring colectomy on the same admission
If no improvement by day 3 make plans for day 5!