| Abdominal Pain |
||
| No Pain |
0 |
|
| Pain can be ignored |
5 |
|
| Pain cannot be ignored |
10 |
|
| Rectal Bleeding |
||
| None |
0 |
|
| Small Amount <50% of stools |
10 |
|
| Small Amount, most stools |
20 |
|
| Large Amount >50% of stools |
30 |
|
| Stool Consistency |
||
| Formed |
0 |
|
| Partially Formed |
5 |
|
| Completely Unformed |
10 |
|
| Number of Stools, Last 24hrs |
||
| 0 - 2 |
0 |
|
| 3 - 5 |
5 |
|
| 6 - 8 |
10 |
|
| >8 |
20 |
|
| Nocturnal Stools |
||
| NO |
0 |
|
| YES |
10 |
|
| Activity Level |
||
| No limitations |
0 |
|
| Occasional limitation of activity |
5 |
|
| Severe restricted activity |
10 |
|
| TOTAL |