cool doctor wrote:
neuroblastoma
the recommendation is colonoscopy every 10 not 5 years
my mistake.
yeah... its every 10 year.
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| darkhorse
Forum Elite
Topics: 56
Posts: 275
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AA
Lower gastrointestinal bleeding (LGIB) results in far fewer hospitalizations than does upper GI
bleeding. Hemorrhoids are probably the most common cause of LGIB. Anal fissures are also
causes of minor bleeding and pain. If these local causes are excluded, diverticula, vascular
ectasias, neoplasms, and colitis account for the majority of the remaining cases. Acute LGIB
with hemodynamic instability requires urgent hospitalization and colonoscopy. In younger
patients (under 40 years of age) with apparent risk factors for malignancy (constitutional
symptoms, weight loss, family history) the identification of hemorrhoids combined with the
appropriate history makes further diagnostic testing less necessary. In this group the risk of
malignancy is exceedingly low. In patients older than 50 years, the presence of hemorrhoids
does not eliminate other diagnoses from the potential causes of LGIB. Therefore, despite the
presence of internal hemorrhoids, in light of the potential for other pathologies in this
51-year-old male, further endoscopy is advised. He is eligible for age-appropriate colonoscopy
at age 50 and therefore should undergo this procedure. Fiber supplements, increased oral
hydration, and suppositories all may aid in the treatment of hemorroids. In more refractory
cases surgical banding or hemorroidectomy may be indicated
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When going gets tough, the tough gets going
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| cool doctor
Forum Junior
Topics: 1
Posts: 226
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Thank you darkhorse for the questions. keep up
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