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Table 3 Descriptions of symptoms during a UC flare reported in at least 50% of participants

From: Development and content validation of patient-reported outcomes tools for ulcerative colitis and Crohn’s disease in adults with moderate-to-severe disease

Symptom

Descriptive terms

Impact on daily life

Urgent bowel movements

“Loss of control”, “need to go”, “sudden urge”, “urge to find bathroom in 10 to 15 s”, and “urgency to go to bathroom”

Inability to work; feeling that life was limited; being hospitalized; social impacts; limitations on clothing; feeling uncomfortable; dietary restrictions; and always needing to be near a bathroom

Abdominal pain

Pain described as “cramping/cramps”, “severe abdominal pain/abdominal pain”, “not a lot of pain”, and “stomach pain”

Inability to work, do usual activities, leave home, or go to school/sports practice; being cranky/not social; dietary restriction; difficulty sleeping; and psychological impacts

Frequent bowel movements

“10–15 times a day”, “12–25 times a day”, “15–20 times a day”, “30 times a day”, “a lot more often than normal”, “going to the restroom more frequently”, and “when it’s urgent, it’s frequent”

Inability to leave home; needing to be near a bathroom; inability to eat; and having to wake up early to let body calm down

Bloody stools

“Bleeding”, “blood in stools”, “rectal bleeding”, and “blood and mucus mixed together”

Psychological impacts; inability to leave home; feeling sick and nauseated; being unable to sit in a chair; and it is life-consuming

Diarrhea/watery stools

“Diarrhea”, “completely water”, “constant diarrhea”, “chronic diarrhea”, and “prolonged periods of diarrhea”

Feeling uncomfortable; inability to leave home; and being scared to go anywhere

Nausea

“Nausea” and “nausea all the time”

Not wanting to do anything and always having to carry mints

  1. UC, ulcerative colitis