Ulcerative Colitis: Recognizing Warning Signs and When to Seek Help

Key Warning Signs

Severe Symptoms Requiring Immediate Attention

• Severe abdominal pain that doesn't improve with medication
• Heavy bleeding in stools or passing pure blood
• High fever (>101.5°F/38.6°C)
• Severe dehydration signs:
  • Extreme thirst
  • Dry mouth and tongue
  • Decreased urination
  • Dizziness

Concerning Symptoms

• Rapid weight loss (>5% of body weight in one month)
• Persistent vomiting
• Severe fatigue preventing daily activities
• Joint pain with swelling
• Skin changes or unusual rashes

Complications to Watch For

Immediate Risk Signs

• Toxic megacolon symptoms:
  • Severe bloating
  • Rapid heart rate
  • Mental status changes
• Bowel perforation indicators:
  • Sudden, severe abdominal pain
  • Rigid abdomen
  • Fever with chills

When to Contact Your Healthcare Provider

Call Immediately If:

1. You experience any severe symptoms listed above
2. You're unable to keep medications down
3. Your symptoms worsen despite following your treatment plan
4. You develop new, unexplained symptoms

Schedule a Regular Appointment If:

• Your current medications seem less effective
• You notice mild new symptoms
• You need prescription refills
• You have questions about your treatment plan