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]]