Gastrointestinal bleeding (peds): Difference between revisions
(Prepared the page for translation)
 
Line 1: Line 1:
{{Peds top}} [[gastrointestinal bleeding]]
<languages/>
<translate>
</translate>
{{Peds top}}
<translate> [[Special:MyLanguage/gastrointestinal bleeding|gastrointestinal bleeding]]
 
==Background==
==Background==
*4 Questions
*4 Questions
**Is this really blood?
**Is this really blood?
Line 7: Line 13:
**Is it a small or large amount
**Is it a small or large amount
**Has this happened before?
**Has this happened before?


==Clinical Features==
==Clinical Features==
*Blood in stool or vomit
*Blood in stool or vomit


==Differential Diagnosis==
==Differential Diagnosis==
</translate>
{{Upper GI bleeding peds DDX}}
{{Upper GI bleeding peds DDX}}
<translate>


===Lower GI Bleeding (peds)===
===Lower GI Bleeding (peds)===
*<2mo
*<2mo
**Swallowed maternal blood
**Swallowed maternal blood
**Milk allergy
**Milk allergy
**[[Infectious colitis]]
**[[Special:MyLanguage/Infectious colitis|Infectious colitis]]
**[[Intussusception]]
**[[Special:MyLanguage/Intussusception|Intussusception]]
**[[Volvulus]]
**[[Special:MyLanguage/Volvulus|Volvulus]]
**[[Meckel diverticulum]]
**[[Special:MyLanguage/Meckel diverticulum|Meckel diverticulum]]
**[[Necrotizing enterocolitis]]
**[[Special:MyLanguage/Necrotizing enterocolitis|Necrotizing enterocolitis]]
**[[Vascular malformation]]
**[[Special:MyLanguage/Vascular malformation|Vascular malformation]]
**[[Hemorrhagic disease of newborn]]
**[[Special:MyLanguage/Hemorrhagic disease of newborn|Hemorrhagic disease of newborn]]
**[[Hirschsprung disease]]
**[[Special:MyLanguage/Hirschsprung disease|Hirschsprung disease]]
**[[Congenital duplications]]
**[[Special:MyLanguage/Congenital duplications|Congenital duplications]]


*2mo–2yr
*2mo–2yr
**[[Anal fissure]]
**[[Special:MyLanguage/Anal fissure|Anal fissure]]
**[[Anal fissure]]
**[[Special:MyLanguage/Anal fissure|Anal fissure]]
**[[Gastroenteritis]]
**[[Special:MyLanguage/Gastroenteritis|Gastroenteritis]]
**Milk allergy
**Milk allergy
**[[Intussusception]]
**[[Special:MyLanguage/Intussusception|Intussusception]]
**[[Volvulus]]
**[[Special:MyLanguage/Volvulus|Volvulus]]
**[[Meckel diverticulum]]
**[[Special:MyLanguage/Meckel diverticulum|Meckel diverticulum]]
**[[Hemolytic uremic syndrome]]
**[[Special:MyLanguage/Hemolytic uremic syndrome|Hemolytic uremic syndrome]]
**[[Henoch-Schönlein purpura]]
**[[Special:MyLanguage/Henoch-Schönlein purpura|Henoch-Schönlein purpura]]
**Polyps; benign, familial
**Polyps; benign, familial
**[[Inflammatory bowel disease]]
**[[Special:MyLanguage/Inflammatory bowel disease|Inflammatory bowel disease]]
**GI duplication
**GI duplication
**Dieulafoy lesion
**Dieulafoy lesion
*>2yr
*>2yr
**[[Anal fissure]]
**[[Special:MyLanguage/Anal fissure|Anal fissure]]
**[[Anal fissure]]
**[[Special:MyLanguage/Anal fissure|Anal fissure]]
**[[Gastroenteritis]]
**[[Special:MyLanguage/Gastroenteritis|Gastroenteritis]]
**[[Hemorrhoids]]
**[[Special:MyLanguage/Hemorrhoids|Hemorrhoids]]
**Polyps
**Polyps
**[[Colitis]] (infectious, ischemic)
**[[Special:MyLanguage/Colitis|Colitis]] (infectious, ischemic)
**[[Meckel diverticulum]]
**[[Special:MyLanguage/Meckel diverticulum|Meckel diverticulum]]
**[[Intussusception]]
**[[Special:MyLanguage/Intussusception|Intussusception]]
**[[Hemolytic uremic syndrome]]
**[[Special:MyLanguage/Hemolytic uremic syndrome|Hemolytic uremic syndrome]]
**[[Henoch-Schönlein purpura]]
**[[Special:MyLanguage/Henoch-Schönlein purpura|Henoch-Schönlein purpura]]
**[[Inflammatory bowel disease]]
**[[Special:MyLanguage/Inflammatory bowel disease|Inflammatory bowel disease]]
**Angiodysplasia
**Angiodysplasia
**[[Celiac disease]]
**[[Special:MyLanguage/Celiac disease|Celiac disease]]
**Dieulafoy lesion
**Dieulafoy lesion
**Rectal ulcer syndrome
**Rectal ulcer syndrome
**[[Peptic ulcer disease]]
**[[Special:MyLanguage/Peptic ulcer disease|Peptic ulcer disease]]
 


==Evaluation==
==Evaluation==
*CBC
*CBC
*[[NG tube|NG]] lavage
*[[Special:MyLanguage/NG tube|NG]] lavage
**Consider for ''suspected''sig. GI blood loss
**Consider for ''suspected''sig. GI blood loss
**Small child: 12F NG tube; instill 50cc saline
**Small child: 12F NG tube; instill 50cc saline
**Older child: 14-16F NG tube; instill 100-200cc saline
**Older child: 14-16F NG tube; instill 100-200cc saline
**Aspirate after 2-3min
**Aspirate after 2-3min


==Management==
==Management==
*Contingent on underlying etiology
*Contingent on underlying etiology


==Disposition==
==Disposition==


==See Also==
==See Also==
</translate>
{{GI bleeding pages}}
{{GI bleeding pages}}
<translate>


==External Links==
==External Links==
*[http://pemplaybook.org/podcast/gi-bleeding-in-children/ Pediatric Emergency Playbook Podcast: GI Bleeding in Children]
*[http://pemplaybook.org/podcast/gi-bleeding-in-children/ Pediatric Emergency Playbook Podcast: GI Bleeding in Children]


==References==
==References==
<references/>
<references/>
[[Category:GI]]
[[Category:GI]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:Symptoms]]
[[Category:Symptoms]]
</translate>

Latest revision as of 22:56, 4 January 2026


This page is for pediatric patients. For adult patients, see: 

gastrointestinal bleeding

Background

  • 4 Questions
    • Is this really blood?
    • Is blood really coming from the GI tract?
      • Blood in diaper may also be vaginal or urinary source
    • Is it a small or large amount
    • Has this happened before?


Clinical Features

  • Blood in stool or vomit


Differential Diagnosis

Upper GI Bleeding (peds)


Lower GI Bleeding (peds)


Evaluation

  • CBC
  • NG lavage
    • Consider for suspectedsig. GI blood loss
    • Small child: 12F NG tube; instill 50cc saline
    • Older child: 14-16F NG tube; instill 100-200cc saline
    • Aspirate after 2-3min


Management

  • Contingent on underlying etiology


Disposition

See Also

Gastrointestinal Bleeding Pages


External Links


References

Retrieved from "https://www.wikem.org/w/index.php?title=Gastrointestinal_bleeding_(peds)&oldid=378981"