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. 2023 Oct 6;30(6):1018–1031. doi: 10.1093/ibd/izad229

Table 1.

Grading system for colitis-diarrhea.33

Grade 1 Grade 2 Grade 3 Grade 4
- Increase of 4 bowel movements per day
- Slight increase in ostomy output over baseline
- No symptoms of colitis (watery diarrhea, cramping, urgency,
abdominal pain, blood and mucus in stool, fever, nocturnal bowel movements)
- Increase of 4-6 bowel movements per day
- Moderate increase in ostomy output over baseline
- Mild/moderate colitis symptoms:
- Nocturnal bowel movements
- Increase of 6 bowel movements per day
- Severe increase in ostomy output compared with baseline
- Severe colitis symptoms:
- Hemodynamic instability
- Hospitalization indicated
-Same as grade 3, but with:
-Other serious/life-threatening complications
-Urgent intervention indicated