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A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve, which includes the colon, rectum, and anus. [2] LGIB was previously defined as any bleed that occurs distal to the ligament of Treitz, which included the aforementioned parts of the intestine and also included the last 1/4 of the duodenum and the entire area of the jejunum and ileum. [1]
Rectal tenesmus is a feeling of incomplete defecation. [1] It is the sensation of inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been evacuated. Tenesmus indicates the feeling of a residue, and is not always correlated with the actual presence of residual fecal matter in the rectum.
IBS can negatively affect quality of life and may result in missed school or work or reduced productivity at work. [13] Disorders such as anxiety, major depression, and chronic fatigue syndrome are common among people with IBS. [1] [14] [note 1] [15] The cause of IBS is not known but multiple factors have been proposed to lead to the condition. [2]
Irritable bowel syndrome is a chronic condition that affects the gastrointestinal tract. This tract is a series of throat and stomach organs that include the esophagus and small and large ...
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Gastrointestinal bleeding can range from small non-visible amounts, which are only detected by laboratory testing, to massive bleeding where bright red blood is passed and shock develops. Rapid bleeding may cause syncope. [18] The presence of bright red blood in stool, known as hematochezia, typically indicates lower gastrointestinal bleeding.
Hematochezia (lower gastrointestinal bleeding). [5] which can vary from minor to severe. [3] Rectal pain. [3] Pelvic discomfort. [3] Tenesmus. [3] Sensation of incomplete evacuation of stool. [3] Mucous rectal discharge . [3] Constipation, which may be chronic and severe. [3] Straining during defecation. [3] Rectal prolapse or other pelvic ...
A complete blood count as well as an hemoglobin test should be performed when a patient presents symptoms of hematochezia. A colonoscopy may be necessary if there is suspicion of bleed from colon particularly in the elderly to look for the site and many causes of bleed like carcinoma, ulcerative colitis, rectal varices or other lesions and in certain instances upper gastrointestinal endoscopy ...