Why should an anorectal exam be done early in the evaluation of lower gastrointestinal (GI) bleeding (LGIB)?

Updated: Jul 26, 2019
  • Author: Burt Cagir, MD, FACS; Chief Editor: BS Anand, MD  more...
  • Print
Answer

Patients who have rectal varices with portal hypertension may develop painless massive LGIB; therefore, examining the anorectum early in the workup is important. If active bleeding is identified, treat it aggressively. Note that the discovery of a benign anorectal disease does not exclude the possibility of more proximal bleeding from the lower GI tract.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!