213:
47:
352:
A complete blood count as well as an hemoglobin test should be performed when a patient presents symptoms of hematochezia. A colonoscopy may be necessary if there is suspicion of bleed from colon particularly in the elderly to look for the site and many causes of bleed like carcinoma, ulcerative
353:
colitis, rectal varices or other lesions and in certain instances upper gastrointestinal endoscopy may be required as well to look for any rapid and massive fresh bleed from upper gastrointestinal tract when there may not be sufficient time for the change of colour of blood to occur.
866:
467:
209:) or blackberries may also cause red or black discoloration of the stool and sometimes the urine (pseudohematuria). This too, is a differential sign that is sometimes mistaken for hematochezia.
392:
158:, which is potentially fatal. In a newborn infant, haematochezia may be the result of swallowed maternal blood at the time of delivery, but can also be an initial symptom of
1753:
197:. Haematochezia from an upper gastrointestinal source is an ominous sign, as it suggests a very significant bleed which is more likely to be life-threatening. Eating
463:
931:
134:
is that rectal bleeding is not associated with defecation; instead, it is associated with expulsion of fresh bright red blood without stools. The phrase
572:
205:) because of insufficient metabolism of a red pigment, and is a differential sign that may be mistaken as hematochezia. Consumption of dragon fruit (
416:
1435:
597:
399:
1030:
509:
1069:
2224:
924:
162:, a serious condition affecting premature infants. In babies, hematochezia in conjunction with abdominal pain is associated with
659:
551:
1297:
1209:
949:
126:(UGIB). The term derives from Greek αἷμα ("blood") and χÎζειν ("to defaecate"). Hematochezia is commonly associated with
488:
1510:
917:
163:
2182:
2029:
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305:
127:
123:
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1979:
576:
530:
1888:
1407:
1015:
182:
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441:
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420:
680:
130:, but may also occur from a brisk upper gastrointestinal bleed. The difference between hematochezia and
1468:
1397:
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171:
609:
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1074:
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159:
87:
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1005:
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2012:
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Eckmann JD, Chedid VG, Loftus CG (2018). "A rational approach to the patient with hematochezia".
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778:
2024:
1943:
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2007:
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1307:
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1136:
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310:
8:
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1967:
1860:
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341:
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2002:
1989:
1972:
1838:
1473:
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958:
829:
315:
249:
244:
185:. However, as the blood from such a bleed is usually chemically modified by action of
175:
66:
875:
2219:
2147:
2128:
1501:
892:
821:
784:
254:
Other types of inflammatory bowel disease, inflammatory bowel syndrome, or ulceration
239:
155:
54:
833:
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59:
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46:
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886:
817:
20:
2189:
2104:
1658:
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1431:
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1317:
1287:
897:
510:"Crohn's Disease: Inflammatory Bowel Diseases (IBD): Merck Manual Home Edition"
362:
325:
320:
295:
151:
103:
91:
381:
Taber's
Cyclopedic Medical Dictionary. Donald Venes. 20th Edition. Page 955.
2213:
2122:
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1811:
1794:
1706:
1451:
1278:
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300:
552:"Ulcerative Colitis - Symptoms, Causes and Treatments of Ulcerative Colitis"
1997:
1909:
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1636:
1621:
1616:
1612:
1525:
1350:
1266:
1158:
1148:
1114:
825:
464:"What are Early Symptoms of Colorectal Cancer? Watch out for Small Changes"
285:
262:
217:
178:, is a serious cause of hematochezia that must be considered and excluded.
131:
2177:
1939:
1917:
1748:
1668:
1312:
1213:
966:
154:, both of which are relatively benign; however, it can also be caused by
858:
1953:
1626:
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1188:
258:
167:
147:
115:
79:
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706:
290:
83:
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1515:
1227:
331:
225:
202:
198:
1589:
1355:
1259:
1231:
660:"Diverticulitis: Diverticular Disease: Merck Manual Home Edition"
335:
466:. Alexandria, Virginia, United States: Fight Colorectal Cancer.
2055:
1673:
1559:
206:
194:
190:
119:
1505:
1235:
107:
193:, it presents more commonly as black "tarry" feces known as
390:
186:
122:, which commonly refers to blood in stool originating from
111:
939:
797:
265:, particularly if they rupture or are otherwise irritated
417:"Colon Cancer Symptoms - What are Colon Cancer Symptoms"
848:
489:"Colon Cancer Symptoms - Colorectal Cancer Symptoms"
803:
419:. Coloncancer.about.com. 2009-01-20. Archived from
235:Other common causes of blood in the stool include:
777:Davis, Matthew; Davis, Peter; Ross, David (2005).
138:is associated with hematochezia and rectorrhagia.
2211:
608:. Minnesota Department of Health. Archived from
575:. Minnesota Department of Health. Archived from
783:. American College of Physicians. p. 136.
776:
925:
393:"Approach to lower gastrointestinal bleeding"
1031:Esophagogastric junction outflow obstruction
1070:Esophageal intramural pseudodiverticulosis
932:
918:
216:Reddish stool in toilet bowl water due to
45:
334:, especially a high-impact activity like
211:
16:Bowel movement consisting of fresh blood
2212:
201:can cause harmless red-colored feces (
2054:
1298:Small intestinal bacterial overgrowth
913:
573:"Causes and Symptoms of Shigellosis"
461:
391:Sáenz, Roque; Valdivieso, Eduardo.
13:
146:In adults, most common causes are
14:
2241:
2183:Spontaneous bacterial peritonitis
2030:Exocrine pancreatic insufficiency
844:
2225:Gastrointestinal tract disorders
1928:Secondary sclerosing cholangitis
681:"Salmonella infection: Symptoms"
462:Lenz, Heinz-Josef (2009-03-06).
1169:Gastric antral vascular ectasia
1164:Portal hypertensive gastropathy
1041:Gastroesophageal reflux disease
780:Expert Guide to Sports Medicine
770:
753:
732:
711:
702:Upper Gastrointestinal Bleeding
694:
673:
652:
623:
590:
565:
470:from the original on 2009-03-10
306:Upper gastrointestinal bleeding
183:upper gastrointestinal bleeding
128:lower gastrointestinal bleeding
124:upper gastrointestinal bleeding
1923:Primary sclerosing cholangitis
1773:Hepatic veno-occlusive disease
1595:Solitary rectal ulcer syndrome
740:"Esophageal varices: Symptoms"
544:
523:
502:
481:
455:
434:
409:
384:
375:
1:
1980:Sphincter of Oddi dysfunction
368:
1889:Postcholecystectomy syndrome
1408:Intestinal pseudoobstruction
1016:Esophageal motility disorder
818:10.1097/MOG.0000000000000409
742:. MayoClinic.com. 2010-10-30
721:. MayoClinic.com. 2011-01-06
683:. MayoClinic.com. 2011-04-16
533:. MayoClinic.com. 2011-08-09
444:. MayoClinic.com. 2011-08-13
347:
7:
531:"Crohn's disease: Symptoms"
398:. p. 2. Archived from
356:
228:can be used to distinguish
181:Hematochezia can be due to
136:bright red blood per rectum
10:
2246:
1874:Gallstone / Cholelithiasis
1398:Functional colonic disease
1194:Zollinger–Ellison syndrome
271:or shiga toxin producing
172:inflammatory bowel disease
18:
2168:
2047:
1988:
1902:
1859:
1705:
1696:
1649:
1603:
1558:
1444:
1331:
1221:
1208:
1083:
1075:Acute esophageal necrosis
957:
948:
852:
281:Necrotizing enterocolitis
160:necrotizing enterocolitis
141:
88:gastrointestinal bleeding
75:
65:
53:
44:
36:
31:
1174:Gastric dumping syndrome
1049:Laryngopharyngeal reflux
1036:Diffuse esophageal spasm
719:"Peptic ulcer: Symptoms"
442:"Colon cancer: Symptoms"
19:Not to be confused with
1790:Alcoholic liver disease
1323:Bile acid malabsorption
1267:Peptic (duodenal) ulcer
806:Curr Opin Gastroenterol
554:. Webmd.com. 2010-10-07
491:. Webmd.com. 2010-10-31
1800:Hepatic encephalopathy
1184:Buried bumper syndrome
1115:Peptic (gastric) ulcer
999:Mallory–Weiss syndrome
942:human digestive system
221:
2025:Pancreatic pseudocyst
1894:Porcelain gallbladder
1006:Zenker's diverticulum
232:from maternal blood.
215:
71:Bright blood in stool
1829:Hepatorenal syndrome
1768:Budd–Chiari syndrome
1725:Autoimmune hepatitis
1550:Intestinal adhesions
1308:Short bowel syndrome
1137:Functional dyspepsia
1055:Esophageal stricture
1021:Nutcracker esophagus
311:Peptic ulcer disease
1968:Choledocholithiasis
1839:Metabolic disorders
1805:Acute liver failure
1778:Portal hypertension
1730:Alcoholic hepatitis
1573:Radiation proctitis
1492:Mesenteric ischemia
1464:Gastroenterocolitis
1293:Blind loop syndrome
1103:Ménétrier's disease
1011:Barrett's esophagus
342:Radiation proctitis
110:passes through the
2143:Undefined location
2134:Grynfeltt–Lesshaft
2035:Pancreatic fistula
2018:Pancreatic abscess
1973:Biliary dyskinesia
1944:Mirizzi's syndrome
1445:Large and/or small
1125:Dieulafoy's lesion
994:Boerhaave syndrome
662:. Merckmanuals.com
512:. Merckmanuals.com
316:Esophageal varices
250:Ulcerative colitis
222:
176:ulcerative colitis
170:and young adults,
118:. It differs from
2207:
2206:
2203:
2202:
2043:
2042:
1645:
1644:
1502:Bowel obstruction
1204:
1203:
907:
906:
641:. About-ecoli.com
635:Infection |
240:Colorectal cancer
156:colorectal cancer
106:, in which fresh
97:
96:
26:Medical condition
2237:
2195:Pneumoperitoneum
2052:
2051:
1962:Common bile duct
1844:Wilson's disease
1834:Peliosis hepatis
1703:
1702:
1580:Proctalgia fugax
1487:Abdominal angina
1412:Ogilvie syndrome
1361:Pseudomembranous
1219:
1218:
1179:Gastric volvulus
1144:Pyloric stenosis
955:
954:
940:Diseases of the
934:
927:
920:
911:
910:
850:
849:
838:
837:
801:
795:
794:
774:
768:
757:
751:
750:
748:
747:
736:
730:
729:
727:
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715:
709:
698:
692:
691:
689:
688:
677:
671:
670:
668:
667:
656:
650:
649:
647:
646:
627:
621:
620:
618:
617:
600:Escherichia coli
594:
588:
587:
585:
584:
569:
563:
562:
560:
559:
548:
542:
541:
539:
538:
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520:
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517:
506:
500:
499:
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485:
479:
478:
476:
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459:
453:
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450:
449:
438:
432:
431:
429:
428:
413:
407:
406:
404:
397:
388:
382:
379:
230:fetal hemoglobin
224:In infants, the
60:Gastroenterology
49:
29:
28:
2245:
2244:
2240:
2239:
2238:
2236:
2235:
2234:
2210:
2209:
2208:
2199:
2164:
2153:Internal hernia
2039:
1984:
1949:Biliary fistula
1907:
1898:
1884:Adenomyomatosis
1879:Cholesterolosis
1855:
1849:Hemochromatosis
1720:Viral hepatitis
1692:
1641:
1599:
1585:Rectal prolapse
1554:
1521:Fecal impaction
1511:Intussusception
1474:Crohn's disease
1440:
1423:Toxic megacolon
1335:
1333:Large intestine
1327:
1272:Curling's ulcer
1225:
1223:Small intestine
1212:
1200:
1108:Gastroenteritis
1079:
944:
938:
908:
903:
902:
861:
847:
842:
841:
802:
798:
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771:
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743:
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733:
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712:
699:
695:
686:
684:
679:
678:
674:
665:
663:
658:
657:
653:
644:
642:
639:Food Poisoning"
629:
628:
624:
615:
613:
596:
595:
591:
582:
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571:
570:
566:
557:
555:
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435:
426:
424:
415:
414:
410:
402:
395:
389:
385:
380:
376:
371:
359:
350:
338:in hot weather.
257:Rectal or anal
245:Crohn's disease
174:, particularly
164:intussusception
144:
27:
24:
21:rectal bleeding
17:
12:
11:
5:
2243:
2233:
2232:
2227:
2222:
2205:
2204:
2201:
2200:
2198:
2197:
2192:
2190:Hemoperitoneum
2187:
2186:
2185:
2174:
2172:
2166:
2165:
2163:
2162:
2161:
2160:
2155:
2150:
2139:
2138:
2137:
2136:
2131:
2118:
2117:
2112:
2107:
2102:
2097:
2096:
2095:
2090:
2079:
2078:
2073:
2072:
2071:
2060:
2058:
2049:
2045:
2044:
2041:
2040:
2038:
2037:
2032:
2027:
2022:
2021:
2020:
2015:
2010:
2005:
1994:
1992:
1986:
1985:
1983:
1982:
1977:
1976:
1975:
1970:
1957:
1956:
1951:
1946:
1937:
1936:
1935:
1930:
1925:
1914:
1912:
1900:
1899:
1897:
1896:
1891:
1886:
1881:
1876:
1871:
1865:
1863:
1857:
1856:
1854:
1853:
1852:
1851:
1846:
1836:
1831:
1826:
1825:
1824:
1819:
1809:
1808:
1807:
1802:
1792:
1787:
1786:
1785:
1780:
1775:
1770:
1758:
1757:
1756:
1746:
1745:
1744:
1734:
1733:
1732:
1727:
1722:
1711:
1709:
1700:
1694:
1693:
1691:
1690:
1689:
1688:
1678:
1677:
1676:
1671:
1661:
1659:Blood in stool
1655:
1653:
1647:
1646:
1643:
1642:
1640:
1639:
1634:
1632:Anal dysplasia
1629:
1624:
1619:
1609:
1607:
1601:
1600:
1598:
1597:
1592:
1587:
1582:
1577:
1576:
1575:
1564:
1562:
1556:
1555:
1553:
1552:
1547:
1546:
1545:
1535:
1534:
1533:
1523:
1518:
1513:
1508:
1499:
1497:Angiodysplasia
1494:
1489:
1478:
1477:
1476:
1466:
1461:
1460:
1459:
1448:
1446:
1442:
1441:
1439:
1438:
1432:Diverticulosis
1428:Diverticulitis
1425:
1416:
1415:
1414:
1405:
1395:
1390:
1389:
1388:
1383:
1378:
1373:
1368:
1363:
1353:
1347:
1345:
1329:
1328:
1326:
1325:
1320:
1318:Milroy disease
1315:
1310:
1305:
1300:
1295:
1290:
1288:Tropical sprue
1285:
1276:
1275:
1274:
1264:
1263:
1262:
1257:
1252:
1241:
1239:
1216:
1210:Lower GI tract
1206:
1205:
1202:
1201:
1199:
1198:
1197:
1196:
1186:
1181:
1176:
1171:
1166:
1161:
1156:
1151:
1146:
1141:
1140:
1139:
1129:
1128:
1127:
1122:
1112:
1111:
1110:
1105:
1100:
1089:
1087:
1081:
1080:
1078:
1077:
1072:
1067:
1062:
1057:
1052:
1046:
1045:
1044:
1038:
1033:
1028:
1023:
1013:
1008:
1003:
1002:
1001:
996:
986:
985:
984:
979:
974:
963:
961:
952:
950:Upper GI tract
946:
945:
937:
936:
929:
922:
914:
905:
904:
901:
900:
889:
878:
862:
857:
856:
854:
853:Classification
846:
845:External links
843:
840:
839:
796:
789:
769:
761:Gastric Cancer
752:
731:
710:
693:
672:
651:
622:
589:
564:
543:
522:
501:
480:
454:
433:
408:
405:on 2013-12-13.
383:
373:
372:
370:
367:
366:
365:
363:Blood in stool
358:
355:
349:
346:
345:
344:
339:
328:
326:Angiodysplasia
323:
321:Gastric cancer
318:
313:
308:
303:
298:
296:Diverticulosis
293:
288:
283:
278:
277:food poisoning
266:
255:
252:
247:
242:
152:diverticulosis
143:
140:
104:blood in stool
95:
94:
92:stomach cancer
77:
73:
72:
69:
63:
62:
57:
51:
50:
42:
41:
38:
34:
33:
25:
15:
9:
6:
4:
3:
2:
2242:
2231:
2230:Medical signs
2228:
2226:
2223:
2221:
2218:
2217:
2215:
2196:
2193:
2191:
2188:
2184:
2181:
2180:
2179:
2176:
2175:
2173:
2171:
2167:
2159:
2156:
2154:
2151:
2149:
2146:
2145:
2144:
2141:
2140:
2135:
2132:
2130:
2127:
2126:
2125:
2124:
2120:
2119:
2116:
2113:
2111:
2108:
2106:
2103:
2101:
2098:
2094:
2091:
2089:
2086:
2085:
2084:
2081:
2080:
2077:
2074:
2070:
2067:
2066:
2065:
2064:Diaphragmatic
2062:
2061:
2059:
2057:
2053:
2050:
2046:
2036:
2033:
2031:
2028:
2026:
2023:
2019:
2016:
2014:
2011:
2009:
2006:
2004:
2001:
2000:
1999:
1996:
1995:
1993:
1991:
1987:
1981:
1978:
1974:
1971:
1969:
1966:
1965:
1964:
1963:
1959:
1958:
1955:
1952:
1950:
1947:
1945:
1941:
1938:
1934:
1931:
1929:
1926:
1924:
1921:
1920:
1919:
1916:
1915:
1913:
1911:
1905:
1901:
1895:
1892:
1890:
1887:
1885:
1882:
1880:
1877:
1875:
1872:
1870:
1869:Cholecystitis
1867:
1866:
1864:
1862:
1858:
1850:
1847:
1845:
1842:
1841:
1840:
1837:
1835:
1832:
1830:
1827:
1823:
1820:
1818:
1815:
1814:
1813:
1812:Liver abscess
1810:
1806:
1803:
1801:
1798:
1797:
1796:
1795:Liver failure
1793:
1791:
1788:
1784:
1781:
1779:
1776:
1774:
1771:
1769:
1766:
1765:
1764:
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1452:Enterocolitis
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1065:Megaesophagus
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631:"Symptoms of
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301:Salmonellosis
299:
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263:anal fissures
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43:
40:Haematochezia
39:
35:
30:
22:
2142:
2121:
1998:Pancreatitis
1960:
1910:biliary tree
1783:Nutmeg liver
1760:
1686:Hematochezia
1685:
1637:Pruritus ani
1622:Anal abscess
1617:Anal fistula
1613:Anal fissure
1526:Constipation
1480:
1351:Appendicitis
1159:Gastroptosis
1149:Achlorhydria
988:
977:Eosinophilic
891:
880:
865:
812:(1): 38–45.
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744:. Retrieved
734:
723:. Retrieved
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664:. Retrieved
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643:. Retrieved
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614:. Retrieved
610:the original
603:
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581:. Retrieved
577:the original
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556:. Retrieved
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535:. Retrieved
525:
514:. Retrieved
504:
493:. Retrieved
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472:. Retrieved
457:
446:. Retrieved
436:
425:. Retrieved
421:the original
411:
400:the original
386:
377:
351:
286:Menstruation
272:
268:
234:
223:
218:dragon fruit
180:
145:
135:
132:rectorrhagia
100:Hematochezia
99:
98:
32:Hematochezia
2178:Peritonitis
1940:Cholestasis
1918:Cholangitis
1861:Gallbladder
1749:Fatty liver
1669:Hematemesis
1651:GI bleeding
1457:Necrotizing
1386:Lymphocytic
1381:Collagenous
1376:Microscopic
1313:Steatorrhea
1214:Enteropathy
1060:Inlet patch
982:Herpetiform
967:Esophagitis
259:hemorrhoids
220:consumption
168:adolescents
148:hemorrhoids
37:Other names
2214:Categories
2170:Peritoneal
2148:Incisional
2069:Congenital
2013:Hereditary
1990:Pancreatic
1954:Haemobilia
1627:Hemorrhoid
1605:Anal canal
1543:Infectious
1531:Functional
1366:Ulcerative
1250:Duodenitis
1189:Gastrinoma
893:DiseasesDB
746:2012-01-31
725:2012-01-31
687:2012-01-31
666:2012-01-31
645:2012-01-31
616:2015-05-22
583:2015-05-22
558:2012-01-31
537:2012-01-31
516:2012-01-31
495:2012-01-31
474:2013-02-23
448:2012-01-31
427:2012-01-31
369:References
116:defecating
80:Hemorrhoid
2158:Richter's
2115:Spigelian
2110:Obturator
2100:Umbilical
1933:Ascending
1904:Bile duct
1737:Cirrhosis
1715:Hepatitis
1698:Accessory
1568:Proctitis
1419:Megacolon
1393:Dysentery
1303:Whipple's
1255:Jejunitis
1245:Enteritis
1132:Dyspepsia
1093:Gastritis
1026:Achalasia
959:Esophagus
766:eMedicine
707:eMedicine
602:O157:H7 (
348:Diagnosis
291:Dysentery
84:gastritis
55:Specialty
2220:Bleeding
2088:Indirect
2083:Inguinal
1817:Pyogenic
1762:Vascular
1538:Diarrhea
1516:Volvulus
1482:Vascular
1421: /
1410: /
1371:Ischemic
1338:Appendix
1228:Duodenum
1098:Atrophic
972:Candidal
834:23181441
826:29059071
468:Archived
357:See also
332:exercise
330:Intense
269:Shigella
226:Apt test
203:beeturia
199:beetroot
67:Symptoms
2129:Petit's
2105:Femoral
2008:Chronic
1822:Amoebic
1590:Anismus
1356:Colitis
1283:Coeliac
1260:Ileitis
1232:Jejunum
1085:Stomach
989:Rupture
887:D006471
637:E. coli
633:E. coli
604:E. coli
336:running
274:E. coli
191:enzymes
2123:Lumbar
2093:Direct
2076:Hiatus
2056:Hernia
1908:Other
1674:Melena
1560:Rectum
1043:(GERD)
832:
824:
787:
606:O157)"
207:pitaya
195:melena
142:Causes
120:melena
114:while
76:Causes
2048:Other
2003:Acute
1754:MASLD
1707:Liver
1681:Lower
1664:Upper
1506:Ileus
1342:Colon
1236:Ileum
1051:(LPR)
898:19317
876:578.1
830:S2CID
403:(PDF)
396:(PDF)
166:. In
108:blood
1436:SCAD
882:MeSH
871:9-CM
822:PMID
785:ISBN
189:and
187:acid
150:and
112:anus
1742:PBC
1469:IBD
1403:IBS
867:ICD
814:doi
764:at
705:at
261:or
2216::
1906:/
1504::
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820:.
810:34
808:.
90:,
86:,
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1226:(
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869:-
859:D
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690:.
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648:.
619:.
598:"
586:.
561:.
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498:.
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430:.
23:.
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
