Lower gastrointestinal bleeding
3355249
202998146
2008-04-03T07:55:13Z
Tarek
40068
Added beginnings of management
{{Infobox_Disease |
Name = {{PAGENAME}} |
Image = |
Caption = |
DiseasesDB = |
ICD10 = {{ICD10|K|92|2|k|90}} |
ICD9 = {{ICD9|578.9}} |
ICDO = |
OMIM = |
MedlinePlus = |
eMedicineSubj = radio |
eMedicineTopic = 301 |
MeshID = |
}}
'''Lower gastrointestinal bleeding''', commonly abbreviated '''LGIB''', refers to any form of bleeding in the [[lower gastrointestinal tract]].
==Diagnosis==
The following suggest an LGIB:
*[[Melena]] and a negative [[oesophagogastroduodenoscopy]]
*[[Hematochezia]]
*[[Fecal occult blood]]
The following may suggest an LGIB:
*[[Anemia]]
[[Image:Diverticulosis_2.jpg|right|thumb|200px|Diverticular disease - a cause of LGIBs.]]
==Causes==
*[[Coagulopathy]] - specifically a [[bleeding diathesis]]
*[[Colitis]]
**[[ischaemic colitis]]
**[[ulcerative colitis]]
**[[infectious colitis]]
***[[E. coli O157:H7]]
***[[Shigella]]
***[[C. difficile]]
***[[Campylobacter jejuni]]
*[[Hemorrhoids]]
*[[Angiodysplasia]]
*[[Neoplasm]] - cancer
*[[Diverticular disease]] - diverticulosis, diverticulitis
==Management==
[[Image:Algorithm for lower GI Bleed.svg|thumb|Basic algorithm for the management of lower GI bleed.]]
* Stabilize
* Basic investigations
* Rule out upper GI bleed
* Special investigations
* Definitive treatment
==See also==
* [[Fecal occult blood]]
* [[Blood in stool]]
* [[Rectal bleeding]]
* [[Upper gastrointestinal bleeding]]
==External links==
* {{MedlinePlusEncylopedia|003133}}
* {{FPnotebook|GI265}}
{{disease-stub}}
{{Gastroenterology}}
[[Category:Diseases]]
[[fr:Hémorragie digestive basse]]