RECTAL BLEEDING Wha real bleedng? I he expulon of blood hrough he anu or reum, wheher aoaed o defeaon or no. I a gn of a major or mnor problem n he reum, olon or mall bowel, o neeary o ak your door a oon a you dee. Mo frequen ympom - Real pan, pruru, or nflammaon - Abdomnal pan - Darrhea wh blood lo - Preen before or afer defeaon, and may be panle 3. Caue for real bleedng - Hemorrhod - Fure - Dverulo - Inflammaory bowel deae - Uler n he dgeve ra - Bowel angoma (anomalou vaular ruure n he dgeve ra) - Abnormal growh of ell n he dgeve ra (polyp or umor) - Real prolape 4. The garonenal ra I formed by he mouh, eophagu, omah, mall bowel, large nene, olon, and reum. Afer eang he food, h dgeve a goe hrough he dgeve yem. Lqud and oher nuren are aborbed n he dfferen par of he garonenal ra. Fnally, he old wae olleed n he reum. 5. Real bleedng and garonenal problem The aue for real bleedng an be loaed a any pon of he garonenal ra. The mo frequen loaon he reum or he olon, bu n ae nohng found afer a horough examnaon of he area, we wll have o exend he examnaon o he re of he dgeve ra (mall bowel, duodenum and omah).
They rea 6. Dagno and reamen Your door wll have o do a omplee ln hekup n order o fnd he reaon for he real bleedng, nludng anamne or paen nervew, and an exploraon or phyal examnaon. - Anamne and phyal examnaon he paen wll anwer queon on her healh ae and he ympom (f hey have been preen before, any aoaed ympom, e). The exploraon on on a vual npeon of he anu and a laer dgal real examnaon. Inrodung a mall ube n he anu (anoope) wll perm eeng neror. Complemenary exploraon he mple e on on obervng he ool, whh he paen an do a home and whh repreen he aue for he medal apponmen. The re of omplemenary exploraon wll be done n he medal ener. The mo mporan are Rgd gmodoopy perm examnng abou 20-25 m of he olon (from he anu). The bowel mu be prepared beforehand wh rrgaon or an enema. Colonoopy done wh a long and flexble deve ha perm explorng he whole olon. I requre a prevou preparaon of he nene and may produe domfor durng he proe. Opaque enema alo requre preparng he nene. I a peal radologal e ha on of nrodung a onra hrough he anu o fll he olon and draw urfae (he muoa). Then, X-ray mage are aken n order o oban a omplee udy. Someme, ar alo nrodued n order o mprove he nerpreaon of he e (double onra enema). Endoopy a revon of he eophagu and he omah wh a flexble ube ha nrodued hrough he mouh. Th ehnque rarely ued, only n ae he prevou e anno gve a defnve dagno. Treang real bleedng he reamen depend on he aue for he bleedng. Dependng on he nformaon obaned n he lnal udy, your door wll propoe a pef plan for your ae. Someme, real bleedng op ponaneouly, bu even n uh ae neeary o proeed wh he udy n order o rule ou any underlyng erou maer. 7. Wha are oloreal urgeon? Coloreal urgeon are exper on urgal and non-urgal reamen for any ondon n he olon or reum. Thee profeonal are pealzed n olon and reum pahologe afer endng her formaon a peal n general and dgeve urgery.
Ma n au ef ord ge v ehemor r hage Le onena al e,or al e of ar í ngea H a alher n a Hemop y Hemop y Ga r -HSA -al ohol E ophageal umor Pe ul er E ophagealvar e Aor aneur y m Car noma Pep ul er Duoden Pol yp Neopl a a Col D ver ul a Hemor r ho d Pr ol ap e F ur e
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