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Bloody Diarrheae Case Studies

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A thorough history is essential when a pediatric patients presents with bloody diarrhea, and knowing what disease processes commonly affect certain age ranges will also help lead the provider to the proper diagnosis. Questions should be directed according to the patient's age. Some essential questions to ask the parents will entail questions about the amount of blood, the exact color (bright red, dark, tarry, maroon, etc.), how many episodes, how many days, pain, emesis involved, history of straining with bowel movements, abdominal pain, trauma, travel, ill contacts, food consumed, current medications, and any other associated symptoms. Knowing whether the blood is mixed in the stool or dark red blood may suggest a proximal source with some…show more content…
Asking questions about trauma will be appropriate for toddlers, due to the possibility of a foreign object being placed into the anus. Also, potty trained child may ignore the urge to defecate because they are too distracted with other actives and they do not want to leave that activity to go to the bathroom. If this occurs, then chronic constipation can lead to anal fissures that can present as bloody diarrhea, so the blood may actually not entail an actual problem inside the GI tract (Burns, Dunn, Brady, Star, & Glosser, 2013).

The common causes of vomiting can differ in infants, children and adolescents. Vomiting can arise due to GI obstructive and inflammatory etiologies, CNS diseases, pulmonary problems, renal disease, endocrine/metabolic disease, drugs, psychiatric disorders, strep throat, pregnancy, and stress, with the most common cause being of GI origin (Mullen. 2009). Common causes of vomiting involving the GI tract are foreign bodies (coins), hypertrophic pyloric stenosis, intussusception, indirect inguinal hernia, appendicitis, volvulus, and gastroesophageal reflux (GER). With young infants, hypertrophic pyloric stenosis is a common cause of vomiting, which can
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