also showed a 22% immediate post biopsy rate of haematochezia
which fell to 3% at three days and 0.5% at seven days.
A rare cause of haematochezia
: pyogenic granuloma in colon.
A five year old Jersey crossbred cow was presented during winter month with history of profuse bleeding from rectum (haematochezia
) from the previous day (Fig.
Demographics and Clinical Characteristics (n=460) Demographics and Clinical Characteristics n (%) Age (Mean [+ or -] SD) 53.4 [+ or -] 16.8 Male 341 (74.13) Females 119 (25.87) Presenting Symptoms Hematemesis 112 (24.34) Melena 101 (21.95) Hematemesis with Melena 242 (52.60) Haematochezia
5 (1.08) NSAID Use before Admission 86 (18.69) Pre-Endoscopic High Dose PPI Use 432 (93.91) Table 2.
Rebleeding was considered as a new period of bleeding after initial endoscopic haemostasis, based on clinical suspicion as defined by recurrent haematemesis and/or haematochezia
, fresh blood in the nasogastric tube, a drop in haemoglobin or circulatory instability (as defined by a blood pressure below 90/60 mmHg and a heart rate above 100 beats/min).
He denied haematochezia
, meleana or sick contacts at home.
The presentation in our patient is different because he had not developed dysgeusia, his cutaneous symptoms have preceded the onset of diarrhoea and haematochezia
was one of his key presenting features.
Scintigraphy with red blood cells (RBCs) labelled by means of [sup.[sup.99m]]Tc (T 1/2 6 hours) can help to detect the source of GI bleeding in the small intestine in patients with timely anamnesis of bleeding in the lower GI tract from an uncertain source (obscure-overt bleeding), melaena and/or haematochezia
and improves disease management.
The present study was conducted on 24 clinical cases of diarrhoea recorded with complaint of anorexia or inappetence, less water intake, loose to watery faecal consistency with increased frequency of defaecation, yellow to greenish in colour having foul smell and bubbles, haematochezia
and melena (in some cases).
Gastrointestinal tract was the most common site of haemorrhage (n=46/98, 46.9%; melaena 37.8%, haematemesis 12.2%, haematochezia
2.04%), followed by petechiae (n=31, 31.6%), gum bleed (n=19, 19.4%) and epistaxis (n=10, 10.2%).
This is in accordance with the study conducted by Thomas et al 2005, who found that most common indication for colonoscopy was haematochezia
in 40% followed by altered bowel habits in 35%, lower abdominal pain in 15% and evaluation for anaemia in 10% patients.