LOWER GIT BLEEDING

This may be frank bleeding depending on the cause. Common causes are:

  • Haemorrhoids
  • Anal fistulae and fissures
  • Tumours: Benign (leiomyoma, fibromas, polyps) or malignant
  • Trauma
  • Aiigiodysplasia
  • Bleeding disorders

Investigations

  • Haemoglobin, white blood count, packed cell volume.
  • Stool for microscopy, culture and sensitivity
  • Abdominal ultrasound.
  • Barium enema (double contrast)
  • Proctoscopy/Sigmoidoscopy and biopsy

Management

  • Do blood group cross match and transfuse if necessary.
  • Continue with resuscitation.
  • Identify and treat primary pathology.