Updated: 5/21/2018

Lower GI Bleed

Topic
Review Topic
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Snap Shot
  • A 74-year-old male is found on the bathroom floor with underwear saturated in bright red blood. The following colonoscopy was obtained.
Introduction
  • Massive acute bleeds caused by
    • diverticular disease
    • IBD
    • neoplasms
    • angiodysplasia
    • anorectal disease
    • ischemic colitis
    • solitary ulcer
  • Chronic rectal bleeds caused by
    • hemorrhoids
    • fissures
    • CA
    • polyps
Presentation
  • Symptoms
    • bright red blood in rectum
    • hematochezia
      • more common than melena
Evaluation
  • Anoscope / sigmoidoscopy / colonoscopy
Treatment
  • Medical
    • IV fluids and transfusions for hemodynamic stability
 

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