Gastrointestinal Bleeding Research Paper

The name for these erosions is aphthous ulcers. These erosions, after a while, start to deepen and grow in diameter. Once they reach a certain size, they can be referred to as ulcers. These ulcers can cause scarring and they can also cause the bowel to become stiff and lose its elasticity. As Crohn’s worsens, the bowel becomes obstructed once the passageways narrow enough. This obstruction can cause a buildup of food that is still being digested, fluid and gas that comes from the stomach. This obstruction will then prevent all of those products from entering into the colon. This will cause severe abdominal cramps, nausea, vomiting, and even abdominal distention. If the ulcers located in the walls of the bowel become large or extreme enough, holes can form in the walls of the bowel. Once those holes are formed in the bowel, the bacteria normal to the bowel can then pass through those holes and spread to nearby organs and into the abdominal cavity causing what are called fistulas. These fistulas are like a channel/tunnel that is formed between the ulcer and the adjacent organ. Then when a fistula is created between the affected intestine and the bladder, it is called an enteric-vesicular fistula which can lead to UTI’s and feces being presented during urination. Next, when the fistula is formed between the intestine and skin, it is called an enteric-cutaneous fistula. What this fistula, pus and mucous exit the body through a painful opening found in the skin of the

• Keep all follow-up visits as directed by your health care provider. This is important.

• Keep all follow-up visits as told by your health care provider. This is important.

Keep all follow-up visits as told by your child's health care provider. This is important.

• Keep all follow-up visits as directed by your health care provider. This is important.

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

• Return to your normal activities as told by your health care provider. Ask your health care provider what activities are safe for you.

Ulcerative colitis affects the inner lining or mucosa of the colon and rectum. It is characterized by dispersed inflammation and much ulceration which results in bleeding and bloody bowel movements. The mucosa becomes swollen with an excessive buildup of fluid or edema and abscesses or swollen areas of pus filled tissue form. Ulcerative colitis usually begins in the rectum and spreads to involve the whole colon (Hinkle, J. L., Cheever, K. H., 2013) .

Hemorrhage (bleeding): Blood leaking out of blood vessels may be obvious, as from a wound penetrating the skin. Internal bleeding (such as into the intestines, or after a car accident) may not be immediately apparent.

The patient is 69-year-old gentleman who presents to the ED complaining of rectal bleeding which has been present for about the past week. He claims past for large amount of bloody stool in the ED. His stool is guaiac is positive. There is no evidence of hemorrhoids. Work up in the ED reveals him as an abdominal CAT scan to have cholelithiasis but no acute cholecystitis. There is a cystic-appearing structure within the proximal pancreatic body and some colonic diverticular disease and he has a large right inguinal hernia with multiple nondilated loops of small bowel, nonobstructive. There is some mild elevation of his troponin therefore he was admitted acutely inpatient. Hemoglobin and hematocrit are stable and remained stable. I discussed

• Keep all follow-up visits as told by your health care provider. This is important.

Summary… Gastrointestinal (GI) bleeding is a sign that there is a problem in your digestive tract. Your digestive tract consists of the following organs: esophagus, stomach, small intestine, large intestine or colon, rectum, and anus. GI bleeding can occur in any one of these organs. If the bleeding occurs in your esophagus, stomach, or small intestine, it is considered upper GI bleeding. Gastrointestinal bleeding in the large intestine, rectum, or anus is called lower GI bleeding. The amount of bleeding you experience can range from a very small amount of blood to a life-threatening hemorrhage. In some cases, the amount of bleeding may be so small that it only shows up in lab tests.

• Keep all follow-up visits as told by your child’s health care provider. This is important.

Anal fissures exhibit several symptoms, namely, anal pains during bowel movement; severe pain causing hesitation to bowel—which leads to

Standing too much without taking a break to sit can cause hemorrhoids to develop.” ( Hemorrhoids) Consistent anal sexual intercourse and diarrhea can also increase your risk of hemorrhoids. You’re also more likely to develop hemorrhoids if you’re pregnant. When the uterus enlarges, it presses on the vein in the colon, causing it to bulge. A visual examination of your anus may be enough to diagnose hemorrhoids. To confirm the diagnosis, your doctor may do a different tests to check for any abnormalities within the anus. This check is known as a digital rectal test. “During this test, your doctor inserts a gloved and lubricated finger into your rectum. If they feel anything abnormal, they may order an additional test called a sigmoidoscopy.” (Hemorrhoids) A sigmoidoscopy involves your doctor using a small camera to diagnose an internal hemorrhoid. This small fiber-optic camera, called a sigmoidoscope, fits into a small tube and then inserts into your rectum. From this test, your doctor gets a clear view of the inside of your rectum so that they can examine the hemorrhoid up close. And also check if you have other unusual images in your anus. If you’re constipated, you