7/30/2023 0 Comments Blood in stool upper gi tract![]() Bright flecks or streaks of blood on surface of stool.History of painful bowel motions, straining, constipation.Upper GI contrast study and surgical referral in suspected cases.Up to 20% will have rectal bleeding (malaena or haematochezia) 2.Usually present in neonatal period with abdominal distension and bilious vomiting.APT-Downey test will detect maternal blood in baby's stool. There may be a history of maternal mastitis or painful, cracked nipples.Family history of bleeding disorders, inflammatory bowel disease, peptic ulcer disease, polyposis.ĭifferential diagnosis Causes of lower GI bleeding vary according to age 1 Neonates.Non-steroidal anti-inflammatory drug (NSAID) use.Neonates - was vitamin K given at birth?.Thorough history will help determine the source of bleeding.Food which can mimic blood - red food colouring, beetroot.Swallowed blood - maternal (breastfed infants), large epistaxis.Fluid resuscitation 20mL/kg sodium chloride 0.9% (repeat as necessary).Pallor, tachycardia, delayed perfusion, hypotension. ![]()
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