The document lists and describes various causes of bleeding per rectum. Mild causes include constipation, anal fissures, hemorrhoids, and polyps. More serious causes are inflammatory bowel disease, proctitis, diverticulosis, rectal prolapse, rectal trauma, ischemic colitis, angiodysplasia, solitary rectal ulcer syndrome, and pseudomembranous colitis. The document also provides diagnostic information for colorectal carcinoma, noting increased defecation frequency, small quantity of stool, 10kg weight loss, a normal perianal exam ruling out hemorrhoids, a finger stained with altered blood during a per rectal exam, a fungating mass seen on sigmoidoscopy at
The document lists and describes various causes of bleeding per rectum. Mild causes include constipation, anal fissures, hemorrhoids, and polyps. More serious causes are inflammatory bowel disease, proctitis, diverticulosis, rectal prolapse, rectal trauma, ischemic colitis, angiodysplasia, solitary rectal ulcer syndrome, and pseudomembranous colitis. The document also provides diagnostic information for colorectal carcinoma, noting increased defecation frequency, small quantity of stool, 10kg weight loss, a normal perianal exam ruling out hemorrhoids, a finger stained with altered blood during a per rectal exam, a fungating mass seen on sigmoidoscopy at
The document lists and describes various causes of bleeding per rectum. Mild causes include constipation, anal fissures, hemorrhoids, and polyps. More serious causes are inflammatory bowel disease, proctitis, diverticulosis, rectal prolapse, rectal trauma, ischemic colitis, angiodysplasia, solitary rectal ulcer syndrome, and pseudomembranous colitis. The document also provides diagnostic information for colorectal carcinoma, noting increased defecation frequency, small quantity of stool, 10kg weight loss, a normal perianal exam ruling out hemorrhoids, a finger stained with altered blood during a per rectal exam, a fungating mass seen on sigmoidoscopy at
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