|LOWER GASTROINTESTINAL TRACT BLEEDING|
LOWER GASTROINTESTINAL TRACT BLEEDING
When the source of bleeding is below the duodenojejunal fexure it is called lower gastrointestinal tract bleeding. The bleeding may be fresh, altered or occult. It can be devided into 3 groups
1. Patients with minor bleeding (OCCULT ):-It is that which is detected by routine chemical tests of the stool. About 10 ml blood loss per day is necessary to have stool occult blood test positive
2.Patients with slow bleeding (MODERATE) This patient may become anaemic
3.Patients with rapid bleeding (SEVERE) This patient may re:-quire blood transfusion
Causes may be divided into two main groups- local causes and general causes.
fistula in ano
ruptured perianal haematoma(thrombosed pile)
ruptured anorectal abscess
various types of polyps
Abdominal and rectal examination by a qualified doctor is mandatory, which may require
rectal and digital examination
This will depend upon the cause of bleeding. Local management of cause and general management of patient is required to stabilise the patient.