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Table 6 Descriptions of symptoms during a CD 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

Abdominal pain

“Abdominal pain”, “severe abdominal pain”, “tender when touched”, “abdominal/stomach aches and pain”, “severe cramping”, and “stepping on stomach with a cleat”

Inability to go to work; inability to concentrate or focus; and not wanting to go out

Diarrhea/loose stools

“Diarrhea/a lot of diarrhea”, “nothing formed”, “projectile”, and “uncontrollable diarrhea”

Afraid to/don’t leave house; affects sleep; embarrassing; have to wear Depends; and psychological impact

Urgent bowel movements

“Urgency”, “hard to control”, “more urgent to go”, “running to the bathroom”, and “urgency to evacuate”

Being stressful, mentally; having to be aware of surroundings; needing to be close to a bathroom; and always looking for a bathroom

Fatigue/tiredness/ weakness

“Chronic fatigue”, “lethargic”, “really tired”, and “weakness”

Difficulty doing anything and being unable to move

Frequent bowel movements

“10−12 times a day”, “20 times a day”, “continuously going to the bathroom”, and “frequent bowel movements”

Needing to be at home; being unable to go to work; affects social life; affects sleep; missing TV shows; being unable to work out; difficult to attend the movies; getting fired; and having to wear Depends

Bloody stools

“Bleeding”, “bloody stools”, “little blood in stool”, and “bleeding internally”

Feeling weak/anemic; having to stay close to home/bathroom; affects personal hygiene; have to be dependent on others; being unable to leave the house; and having no social life

Nausea

Nausea

Having to go to the ER and put life on hold; being unable to do much; needing to be home near a bathroom; being worried; and being late for work/missing work

Vomiting

“Throw up” and “vomiting”

Having to take time off from work; needing to be near home bathroom; being worried; having to stay home/can’t go out; and not being able to do daily tasks

Bowel incontinence

“If you’re nowhere near a bathroom but you have to go” and having “no place left to go and you need a bathroom and it’s not there”

Not asked

Constipation

“Straining”, “tough to go to the bathroom”, “constipated”, and “pain”

Everything is put on hold if hospitalized; and feeling bloated or gassy

Joint aches/body aches

“Joint pain”

Being hard to dance; having to use a walker; being unable to cook; and being unable to open a jar or bottle of water

  1. CD, Crohn’s disease; ER, emergency room