Lower gastrointestinal bleeding in children

Question 1

What is the approach to LGIT bleeding in children

Answer 1

Careful history and examination
Begin resuscitation early
Urgent referral for therapeutic gastroscopy or colonoscopy
Patient should be stabilised for transport

Question 2

What is meant by the following terms:
- Melaena
- Rectorrhagia

Answer 2

Melaena:
- Tarry black stools passed per rectum

Rectorrhagia:
- Passage of red blood without stool