Possible Causes for hematochezia Acute Gastroenteritis The virus is noninvasive of the colon; therefore, white blood cells (WBCs) are not seen in the stool, and hematochezia is rare. [emedicine.medscape.com] Hemorrhoids Five patients, who presented with severe hematochezia or obscure gastrointestinal bleeding, during a 24-month period had had an extensive workup for gastrointestinal bleeding [ncbi.nlm.nih.gov] These include hematochezia, congestive haemorrhoidal cushions and inflammation of perianal mucosa in the short term. [ncbi.nlm.nih.gov] These symptoms include hematochezia and congestive haemorrhoidal cushions, in the short term. [doi.org] Esophagitis Esophagitis is an inflammation of the lining of the esophagus, the tube that carries food from the throat to the stomach. If left untreated, this condition can become very uncomfortable, causing problems with swallowing, ulcers, and scarring of the esophagus. In some instances, a condition known as Barrett's[…] [webmd.com] Gastritis Patient made NPO (nothing by mouth) IV fluids as needed Nasogastric tube placement General surgery consultation Pain control Upper GI bleed[14] Abdominal pain (epigastric), hematochezia [en.wikipedia.org] […] and not so rare complication among lean patients with polycystic ovary syndrome undergoing transvaginal oocyte retrieval.[7] Anus Melena - upper gastrointestinal bleeding Hematochezia [en.wikipedia.org] The virus is noninvasive of the colon; therefore, white blood cells (WBCs) are not seen in the stool, and hematochezia is rare. [emedicine.medscape.com] Gastrointestinal Hemorrhage The prevalence of an upper GI source for patients with melena or hematochezia without hematemesis was 32% to 74%. [doi.org] The most common symptom is abdominal pain, while the incidence of hematochezia is relatively low. [ncbi.nlm.nih.gov] We report the case of a 35-year-old man who presented with hematuria and hematochezia secondary to an iliac artery-uretero-colonic fistula that developed years after open [ncbi.nlm.nih.gov] Duodenal Ulcer The patient was admitted through the emergency department due to severe hematochezia and ongoing anemia; he presented with neither abdominal pain nor abdominal distension. [ncbi.nlm.nih.gov] […] ulcer patients 1 most common cause of upper gastrointestinal tract hemorrhage variable presentation incidental: fecal occult blood positive test acute presentation: melena/hematochezia [radiopaedia.org] […] ulcer patients 1 most common cause of upper gastrointestinal tract hemorrhage variable presentation incidental: fecal occult blood positive test acute presentation: melena / hematochezia [radiopaedia.org] Colonic Diverticulosis The single patient with probable diverticular bleeding presented with one-day history of recurrent moderate hematochezia. [hindawi.com] Figure 1 A 42-year-old man with a history of mild, intermittent pain on the lower left side of the abdomen presented with an episode of painless hematochezia. [nejm.org] […] necessitating clinic and/or hospital visit and where a diagnosis of “diverticula-related problem” was suggested and antibiotics prescribed, or the occurrence of significant hematochezia [hindawi.com] Familial Adenomatous Polyposis A 34-year-old man was referred to our department with a 6-year history of intermittent hematochezia without any other discomfort after undergoing partial colectomy in February [ncbi.nlm.nih.gov] Nonspecific symptoms, such as unexplained rectal bleeding (hematochezia), diarrhea, or abdominal pain, in young patients may be suggestive of FAP. [gastrointestinalatlas.com] Symptoms are uncommon until the adenomas are large and numerous causing hematochezia or anemia. [symptoma.com] Lynch Syndrome Type 1 This patient was a 42-year-old woman with a history of endometrial cancer who had undergone colonoscopy for hematochezia. [ncbi.nlm.nih.gov] Patients suffering from colorectal cancer may experience abdominal pain, altered bowel habits including diarrhea or constipation, or hematochezia. [symptoma.com] Jejunal Diverticulosis Figure 1 Case 3: A 62-year-old male on warfarin presented to the emergency department with melena and hematochezia. Neither EGD nor colonoscopy showed an active bleed. [journals.lww.com] Diverticular bleeding manifests as painless hematochezia. Because the bleeding vessel is an arteriole, the amount of blood loss is usually moderate to severe. [merckmanuals.com] […] can also be used to delineate obscure sources of GIB. 1 Case Report A 63-year old woman was referred to our institution from a community hospital with a 3-day history of hematochezia [acgcasereports.gi.org] Carcinoma of the Rectum Nine months later, he was found to have hematochezia and acute anemia. [cureus.com] A 40-year-old woman with hematochezia and change in bowel habits was studied. The main laboratory finding was a mild anemia. [ncbi.nlm.nih.gov] Case An 82-year-old female was admitted for worsening abdominal pain, hematochezia, and bilateral inguinal lymphadenopathy with right-sided purulent discharge. [karger.com] Malignant Neoplasm of the Colon Hematochezia as the presenting symptom tends to be associated with tumors located in the descending colon. [aafp.org] The mortality rate in patients who present with hematochezia is only 19 percent, compared with 83 percent in patients with any other presenting symptom. [aafp.org] […] the splenic flexure. 6 Proximal lesions carry a poorer prognosis than distal cancers, in part because of possible delayed diagnosis secondary to the later development of hematochezia [aafp.org] Cronkhite-Canada Syndrome We report a case of a 58-year-old man who was admitted to our hospital with a 6-month history of frequent diarrhea, intermittent hematochezia and a weight loss of 13 kg. [ncbi.nlm.nih.gov] The patient experienced a history of diarrhea and hematochezia for 4 months, with abdominal pain for 1 month and additional nail and toenail loss for half a month. [spandidos-publications.com] Consistent with this, in the present case study, the patient initially experienced diarrhea and hematochezia, followed by abdominal pain, nail and toenail loss, onychatrophy [spandidos-publications.com] Inflammatory Bowel Disease Common symptoms included fatigue, abdominal pain, diarrhea, bloating and hematochezia. [ncbi.nlm.nih.gov] However, 9 months into his clinical course he developed hematochezia with perirectal abscess and fistula. [ncbi.nlm.nih.gov] Colon Carcinoma The presenting symptoms varied and included abdominal pain, nausea, vomiting, diarrhea, constipation, and hematochezia, with symptom duration ranging from a few days to 4 [ncbi.nlm.nih.gov] This patient also reported mild intermittent hematochezia (about 10–12 episodes) for a month and gave a pertinent history of colon cancer in his mother at the age of 50. [karger.com] A 68 year-old woman visited our hospital because of constipation and hematochezia. [kci.go.kr] Adenocarcinoma of the Colon Approximately six months after the initial surgery, he again presented complaining of hematochezia. [omicsonline.org] Proximal tumors will cause occult fecal blood and anemia, whereas distal tumors will cause more changes in bowel habits and hematochezia. [med-ed.virginia.edu] This patient also reported mild intermittent hematochezia (about 10–12 episodes) for a month and gave a pertinent history of colon cancer in his mother at the age of 50. [karger.com] Diverticulitis Chronic diverticular disease can also present with abdominal pain and hematochezia, mimicking inflammatory bowel disease (IBD). [clinicaladvisor.com] Symptoms of SCAD include hematochezia, abdominal pain, and diarrhea. [msdmanuals.com] A hemoglobin level is important in patients who report hematochezia. Electrolyte assays may be helpful in the patient who is vomiting or has diarrhea. [emedicine.com] Pediatric Crohn Disease The patient experienced a history of diarrhea and hematochezia for 4 months, with abdominal pain for 1 month and additional nail and toenail loss for half a month. [spandidos-publications.com] 0001217 Clubbing of fingers Clubbed fingers Clubbing (hands) Finger clubbing [ more ] 0100759 Glossitis Inflammation of the tongue Smooth swollen tongue [ more ] 0000206 Hematochezia [rarediseases.info.nih.gov] A rare and often unrecognized cause of hematochezia and tenesmus in childhood: solitary rectal ulcer syndrome. [ncbi.nlm.nih.gov] Adenocarcinoma of the Rectum We describe a 13-year-old girl with short stature and delayed puberty who presented with hematochezia and recurrent abdominal pain for 1 year, and progressive weight loss [ncbi.nlm.nih.gov] Clinical signs are attributed to a combination of luminal obstruction and hematochezia. [vin.com] The presence of hematochezia is six-times greater in a LGIB than with a UGIB.[5] Occasionally, a person with a LGIB will not present with any signs of internal bleeding, especially [en.wikipedia.org] Cecal Adenocarcinoma Case report: An 18-year-old female Egyptian patient was admitted with hematochezia and remarkable anemia. [dovepress.com] […] present with cachexia, weight loss, anemia, and positive fecal occult blood unlike those with left-sided colon cancers, which usually manifest with changes in bowel habit, hematochezia [hindawi.com] […] for a year. 62 year old woman with abdominal pain and hematochezia. [endoatlas.com] Clostridium Difficile Clinically, diarrhea frequently occurs, but severe hematochezia is rarely seen with CDI. [ncbi.nlm.nih.gov] The passage of musucs, melena, or hematochezia are rare. Non-GI related symptoms such as arthritis and bacteremia have very rarely been reported in the literature. [physio-pedia.com] Patient made NPO (nothing by mouth) IV fluids as needed Nasogastric tube placement General surgery consultation Pain control Upper GI bleed[14] Abdominal pain (epigastric), hematochezia [en.wikipedia.org] Cholecystitis Patient made NPO (nothing by mouth) IV fluids as needed Nasogastric tube placement General surgery consultation Pain control Upper GI bleed[14] Abdominal pain (epigastric), hematochezia [en.wikipedia.org] […] inhibitor, octreotide Stable patient: observation Unstable patient: consultation (general surgery, gastroenterology, interventional radiology) Lower GI Bleed[14] Abdominal pain, hematochezia [en.wikipedia.org] Colonic Angiodysplasia There was no anorexia, abdominal swelling, diarrhea, or hematochezia. Abdomino-pelvic ultrasonography showed normal findings. [njcponline.com] Black, tarry stools ( melena ) and occasional episodes of bright red blood rectal bleeding ( hematochezia ) may be the only obvious signs of angiodysplasia. [healthhype.com] Both the patients had no history of gastrointestinal bleeding such as melena or hematochezia. [saudijgastro.com] Hemophilia Genitourinary and gastrointestinal bleeding may respectively cause blood in the urine (hematuria) and black or bloody stools (melena, hematochezia). [rarediseases.org] Bleeding within the kidneys or stomach and intestines may cause blood in the urine, called hematuria, and stool, called melena or hematochezia, respectively. [rarediseases.org] Inflammatory Bowel Disease Type 1 Hematochezia Hematochezia is usually a bright red color. Remember, hematochezia is caused by bleeding in your colon, which is fairly close to your anus. [healthline.com] The patient experienced a history of diarrhea and hematochezia for 4 months, with abdominal pain for 1 month and additional nail and toenail loss for half a month. [spandidos-publications.com] The abdomen is more or less painful on palpation and evidence of hematochezia may be present. [symptoma.com] Ulcerative Colitis Within two months, she was re-admitted to our hospital, presenting with hematochezia and lower abdominal pain. She was diagnosed with ulcerative colitis. [ncbi.nlm.nih.gov] Because of the ongoing hematochezia, after successful revascularization of the culprit vessel, the patient was medicated with Clopidogrel, in place of one of the more powerful [ncbi.nlm.nih.gov] Furthermore, he recovered from hematochezia, and his hypersensitive C reactive protein decreased. [ncbi.nlm.nih.gov] Volvulus Patients typically show features of bowel obstruction (abdominal pain, distension, bilious vomiting) or of bowel ischemia and gangrene ( tachycardia, hypotension, hematochezia [amboss.com] Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia [nejm.org] Malignant Neoplasm of the Small Intestine Treatment • risk for subsequent complications – obstruction – intussusceptions – Hemorrhage - usually occult; hematochezia or hematemesis may occur – For final diagnosis - [slideshare.net] Lower Gastrointestinal Hemorrhage METHODS: A total of 103 outpatients ( or 45 yr) with hematochezia, defined as the passage of bright red blood per rectum, underwent anoscopy and colonoscopy. [ncbi.nlm.nih.gov] Hematochezia may be associated with an anal cause in most healthy young adults ( Keywords Clinical presentation Hematochezia Delayed diagnosis Colorectal cancer Young patients [dx.doi.org] On the third hospital day, he had massive hematochezia and suddenly developed hypovolemic shock. [ncbi.nlm.nih.gov] Acute Myeloid Leukemia Patients may claim a propensity for epistaxis, bleeding gums, melena and hematochezia, and hematuria. [symptoma.com]
