Etiological profile of patients presenting with lower gastrointestinal bleeding at tertiary care hospital at Belagavi: a cross sectional study

Abstract

Background: Lower gastrointestinal bleeding (LGIB) is bleeding arising below the ligament of Treitz. Hemorrhage from the lower gastrointestinal (GI) tract accounts for about 20% of all cases of acute GI bleeding. Lower GI bleeding is that which occurs from the colon, rectum, or anus, and presenting as either hematochezia (bright red blood or red wine color stools) or malena, blood streaking of the stool. The objective of this study was to evaluate the etiological profile of patients presenting with lower gastrointestinal bleeding.Methods: This one-year cross-sectional study was conducted in the Department of Medicine, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi from January 2015 to December 2015. The study design was a cross-sectional study. This study was carried out from January 2015 to December 2015. Patients with lower gastro-intestinal bleeding presenting at Department of Medicine and Department of Gastro-enterology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi were studied.Results: In the present study majority of the patients were males with the mean age was 43.82±17.96 years and majority of the patients were married with moderate built and nourishment. As per the occupation majority were housewives followed by students. In the present study diabetes mellitus was the most common medical history reported. Internal haemorrhoids was significantly associated with male sex, student’s profession followed by housewife with mixed diet consumption, the clinical presentations significantly associated with internal haemorrhoids were haematochezia, loss of appetite, tenesmus, passage of mucus in stools, constipation, abdominal pain and vomiting.Conclusions: Internal hemorrhoids is the most common cause followed by ulcerative colitis. Though not common, carcinoma colon, solitary rectal ulcer syndrome, polyp, colonic diverticulosis, ischaemic colitis, non-specific proctitis, and radiation proctitis are the other causes of LGIB.

Evaluation of Lower Gastrointestinal Bleeding With Special Reference to Colonoscopy

“…4 In the study by Badiger RH et al, the mean age was 43.82±17.96 years. 5 In a study by Fernandez et al the mean age was 59 ± 16.9 years. 6…”

“…9 In a study by Badiger RH et al, the most common diagnosis was internal haemorrhoids noted in 48% cases followed by ulcerative colitis in10% cases. 5…”

“…3 In Badiger RH et al, study, the most common clinical symptoms were bleeding per rectum in 40% followed by constipation in 76%, loss of weight in 56%, blood mixed with stools in 50% cases. 5…”

“…In patients with mixed diet the clinical presentations significantly associated with internal haemorrhoids are haematochezia, loss of appetite, tenesmus and passage of mucus in stools, constipation, abdominal pain and vomiting. 5…”

Etiological Profile of Patients Presenting with Lower Gastrointestinal Bleeding in Ibb Governorate-Yemen

“…The etiology and the epidemiology of LGIB vary according to the environmental conditions depending upon the lifestyle, dietary habits, the prevalence of smoking, history of drug intake, age, the longevity of the population, etc. [10]. Diverticulosis coli is one of the most common causes of LGIB in the countries of Western Europe and the United States unlike in Asia, diverticulosis coli is uncommon and is much less responsible as a cause of LGIB where hemorrhoids is the commonest colonoscopic findings [6] [9] [11] [12].…”