Hematochezia is the passage of bright red,
bloody stools from the
rectum. It is distinguished from
melena, which is stool with blood that has been altered by the
gut flora and appears black/"
tarry". Hematochezia is commonly associated with
lower gastrointestinal bleeding.In adults, the most common causes are
hemorrhoids and
diverticulosis, both of which are relatively benign; however, it can also be caused by
colorectal cancer, which is frequently fatal. In a newborn infant (
neonate), hematochezia may be the result of swallowed maternal blood at the time of delivery, but can also be an initial symptom of
necrotizing enterocolitis, a serious condition affecting premature infants. In
adolescents and young adults,
inflammatory bowel disease, particularly
ulcerative colitis, is a serious cause of hematochezia that must be considered and excluded.
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