Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access |
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc |
Journal website http://www.gastrores.org |
Original Article
Volume 6, Number 2, April 2013, pages 49-55
The Gap Between Flare-Up Recognition and Judgment of Need for Physician Visit in Patients With Ulcerative Colitis
Figures
Tables
Variable | Mean ± SD | Case (%) (n=260) | |
---|---|---|---|
Age (y) | 47.2 ± 16.1 | ||
Disease duration (y) | 12.8 ± 7.9 | ||
Gender (male) | 130 (50.0) | ||
Current treatment | |||
Oral aminosalicylates | 217 (83.8) | ||
Topical aminosalicylates | 48 (18.5) | ||
Oral corticosteroid | 32 (12.3) | ||
Topical corticosteroid | 35 (13.5) | ||
Immunomodulatory drug (6MP, AZA) | 34 (13.1) | ||
Immunomodulatory drug (Tacrolimus) | 1 (0.4) | ||
Leukocyte apheresis | 5 (1.9) | ||
Biologics | 7 (2.7) | ||
Supplemental elemental diet | 11 (4.2) | ||
Treatment Experience | |||
Oral aminosalicylates | 240 (92.7) | ||
Topical aminosalicylates | 160 (61.5) | ||
Oral corticosteroid | 177 (68.1) | ||
Topical corticosteroid | 175 (67.3) | ||
Immunomodulatory drug (6MP, AZA) | 69 (26.5) | ||
Immunomodulatory drug (Tacrolimus) | 13 (5.0) | ||
Leukocyte apheresis | 86 (33.1) | ||
Biologics | 9 (3.5) | ||
Supplemental elemental diet | 60 (23.1) |
Symptoms recognized as a flare-up of UC | (n = 247) | |
---|---|---|
n | % | |
Blood in stool | 145 | 58.7 |
Frequent bowel movements | 87 | 35.2 |
Stool mucus | 83 | 33.6 |
Abdominal pain | 76 | 30.8 |
Diarrhea | 58 | 23.5 |
Loose stool | 29 | 11.7 |
Fatigue | 25 | 10.1 |
Urgency | 23 | 9.3 |
Fever | 20 | 8.1 |
Flatulence | 16 | 6.5 |
Tenesmus | 12 | 4.9 |
Abdominal discomfort | 10 | 4.0 |
Symptoms judged to require physician consultation | (n = 237) | |
n | % | |
Blood in stool | 156 | 65.8 |
(worsening of bloody stool) | (38) | |
Frequent bowel movements | 84 | 35.4 |
(more than 6 times per day) | (18) | |
Abdominal pain | 56 | 23.6 |
Diarrhea | 35 | 14.8 |
Stool mucus | 21 | 8.9 |
Fever | 20 | 8.4 |
Fatigue | 10 | 4.2 |