Editing Lower GI bleeding (section)

== '''Principles of management''' ==

* Resuscitation as per UGIB     topic
** Can continue aspirin if      strong indication, but stop other anticoagulants
* Indications for admission:
** Can use Oakland score      (MDCalc) to predict risk of discharging from ED
* Anatomic localisation to     either likely UGIB or LGIB, as per UGIB topic
* Compile patient-specific     differential list using demographics, history and examination
** Need to rule out anorectal      causes
* Imaging/endoscopy if     indicated
** Admission CT angio if      suspected active haemodynamically significant bleeding. Generally DO have      time to scan them.
** Admission CT PV if suspected      colitis
** Unstable - angioembolization
** Stable but still bleeding -      prep for colonoscopy ('rapid prep' or no prep, but some PEG is better      than nothing if they are stable, and it is safe in bleeding patients)
*** Especially useful with       suspected diverticular, angioectasia and post-polypectomy bleeds
** Stable and not bleeding -      home with outpatient colonoscopy
** Still bleeding and      imaging/scope options exhausted - manage as per obscure bleeding under      UGIB topic