Lower GI Bleed (LGIB)

Exam Cram

• Lower GI Bleed (LGIB) is defined as bleeding in the GI tract distal to the ligament of Treitz, around D3/4 in the duodenum

• Presentation: rectal bleeding (hematochezia)

• Classification: perianal disease (haemorrhoids, anal fissure or cancer) or colorectal disease (colorectal cancer, diverticulitis)

• Management: A-E assessment, stop blood thinners/ reversal agents, escalate care

References

Written in 2025.