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Severity of Lower Gastrointestinal Bleeding

Posted by minil on Tue, 11 May 2010

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Bleeding from the lower intestinal tract may be categorized as profuse or massive, mild, and occult. With profuse bleeding, there is usually a sudden passage of bright red or maroon-colored blood from the rectum, often associated with weakness and faintness. Many times the patients have had few or no previous symptoms, and abdominal symptoms and signs at the time of hemorrhage are minimal. Massive bleeding in young adults is most often due to ulcerative colitis. When this condition is excluded, ... Read More

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3 Comment(s)


patta.radhakrishna 16 May 10 10:31 AM Thanks I shall do that
minil 14 May 10 3:07 AM Thanks a lot for the additional information that is based on clinical practice and expertise and is specific to causes of LGIB in Indians. Kindly if possible, support it with more pictures also.
patta.radhakrishna 13 May 10 11:55 AM Impressive write up on Lower GI Bleed. LGIH is one of my favorite often lectured topic. Massive LGIH is not uncommon in my clinical practice. Unlike the West, most patients with massive lower GI bleeding in India are youngsters and the most common cause is non-specific faecal and ileal ulcers. The most common cause is typhoid ulcers. About 90% of massive lower GI Bleeding is from theileo-caecal area and most of these patients will require a limited ilea-caecal resection. I have a fairly large number of LGIH who had been operated upon. I have operated on some elderly patients with bleeding diverticulitis. It is interesting to note that although diverticulitis is common in the sigmoid colon, bleeding is common in caecal diverticulitis. Malignanacies rarely bleed massively. I can send some pictures of LGIH if you are interested.