Abdominal pain with blood in the stool

Introduction Abdominal pain with blood in the stool is seen in acute dysentery and acute necrotic enteritis. Can be divided into acute and chronic two types, the cause is extremely complex, including inflammation, tumor, bleeding, obstruction, perforation, trauma and dysfunction, etc., often secondary to gastrointestinal perforation, spleen rupture. Found in patients of all ages, children caused by ascariasis, intussusception and so on. Often accompanied by nausea, vomiting, diarrhea, or fever. During the physical examination, you can find tenderness in the upper abdomen or the umbilicus, no muscle tension, no rebound pain, and a slight bowel movement. It is not difficult to diagnose if you have an unclean diet before the onset of illness.

Cause

Causes

The cause is extremely complex, including inflammation, tumor, bleeding, obstruction, perforation, trauma and dysfunction, often secondary to gastrointestinal perforation, rupture of the spleen. Found in patients of all ages, children caused by ascariasis, intussusception and so on. It can also be caused by acute intussusception, acute abdominal pain, allergic purpura and the like.

an examination

Related inspection

Painless colonoscopy fecal occult blood test

an examination:

1. Colonoscopy.

2. Physical examination.

3. White blood cell count.

4. Fecal examination.

Differential diagnosis

Differential diagnosis of abdominal pain with blood in the stool:

1, abdominal pain with hematuria: abdominal pain with hematuria is one of the clinical manifestations of kidney and ureteral stones.

2, blood in the stool and blood mixed with feces: blood in the stool refers to gastrointestinal bleeding, blood is excreted from the anus. The discharged blood can be bright red, dark red or black. If it is a problem inside the intestine, you will see blood and stool mixed together. Common in intestinal bleeding and intestinal cancer.

3, fecal pus and blood: mixed with pus and blood in the feces.

4, fecal black with blood: gastrointestinal bleeding caused by changes in fecal traits, black and blood.

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