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  • Causes of Rectal Bleeding

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    Natasha Nadeem
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    Constipation, hemorrhoids, and anal fissures are mild causes of bleeding per rectum, while inflammatory bowel disease, diverticulosis, and ischemic colitis are more serious potential underlying conditions. The document outlines various symptoms that could indicate colorectal carcinoma as a cause, including increased bowel movement frequency, small stools, weight loss, a normal perianal exam ruling out hemorrhoids, blood-stained fingers on digital rectal exam, identification of a fungating mass on sigmoidoscopy in the rectosigmoid junction region, and confirmation of a rectal mass with enlarged lymph nodes on CT scan.

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    Causes of Rectal bleeding

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    Constipation, hemorrhoids, and anal fissures are mild causes of bleeding per rectum, while inflammatory bowel disease, diverticulosis, and ischemic colitis are more serious potential underlying conditions. The document outlines various symptoms that could indicate colorectal carcinoma as a cause, including increased bowel movement frequency, small stools, weight loss, a normal perianal exam ruling out hemorrhoids, blood-stained fingers on digital rectal exam, identification of a fungating mass on sigmoidoscopy in the rectosigmoid junction region, and confirmation of a rectal mass with enlarged lymph nodes on CT scan.

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    63 views3 pages

    Causes of Rectal Bleeding

    Uploaded by

    Natasha Nadeem
    Constipation, hemorrhoids, and anal fissures are mild causes of bleeding per rectum, while inflammatory bowel disease, diverticulosis, and ischemic colitis are more serious potential underlying conditions. The document outlines various symptoms that could indicate colorectal carcinoma as a cause, including increased bowel movement frequency, small stools, weight loss, a normal perianal exam ruling out hemorrhoids, blood-stained fingers on digital rectal exam, identification of a fungating mass on sigmoidoscopy in the rectosigmoid junction region, and confirmation of a rectal mass with enlarged lymph nodes on CT scan.

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    © All Rights Reserved
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    CAUSES OF BLEEDING PER RECTUM

    CAUSES
    MILD CAUSES SERIOUS CAUSES
     Constipation  Inflammatory Bowel  Ischemic Colitis
    Disease
     Anal fissure  Angiodysplasia
     Proctitis
     Hemorrhoids  Solitary rectal ulcer
     Diverticulosis syndrome (Rectal
     Polyps
    Ulcer)
     Rectal prolapse
     Pseudomembranous
     Rectal Trauma
    colitis
    DIAGNOSIS FOR CBL: COLORECTAL CARCINOMA

     Increased defecation frequency: irritation due to


    rectal mass
     Small quantity of stool: Obstruction
     10kg weight loss: significant symptom for carcinoma
     Perianal exam normal: hemorrhoids ruled out
     Per rectal examination: finger stained with altered
    blood
     Sigmoidoscopy: Fungating mass 15 cm from anal verge
    (rectosigmoid junction is at 15 – 17 cm from anal verge)
     CT Scan: rectal mass with enlarged paracolic and para
    aortic lymph nodes

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