Gastrointestinal bleeding (peds) - Revision history

Ostermayer at 17:16, 17 January 2026

2026-01-17T17:16:27Z

← Revisión anterior		Revisión del 17:16 17 ene 2026
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	<translate>		<translate>
	</translate>		</translate>
	{{~~Peds top~~}}		{{PediatricPage\|gastrointestinal bleeding}}
	<translate> ~~[[Special:MyLanguage/gastrointestinal bleeding\|gastrointestinal bleeding]]~~		<translate>

	==Background==		==Background==

Ostermayer: Prepared the page for translation

2026-01-04T22:56:29Z

Prepared the page for translation

← Revisión anterior		Revisión del 22:56 4 ene 2026
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	{{Peds top}} [[gastrointestinal bleeding]]		<languages/>
			<translate>
			</translate>
			{{Peds top}}
			<translate> [[Special:MyLanguage/gastrointestinal bleeding\|gastrointestinal bleeding]]

	==Background==		==Background==

	*4 Questions		*4 Questions
	**Is this really blood?		**Is this really blood?
Línea 7:		Línea 13:
	**Is it a small or large amount		**Is it a small or large amount
	**Has this happened before?		**Has this happened before?


	==Clinical Features==		==Clinical Features==

	*Blood in stool or vomit		*Blood in stool or vomit


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Upper GI bleeding peds DDX}}		{{Upper GI bleeding peds DDX}}
			<translate>


	===Lower GI Bleeding (peds)===		===Lower GI Bleeding (peds)===

	*<2mo		*<2mo
	**Swallowed maternal blood		**Swallowed maternal blood
	**Milk allergy		**Milk allergy
	**[[Infectious colitis]]		**[[Special:MyLanguage/Infectious colitis\|Infectious colitis]]
	**[[Intussusception]]		**[[Special:MyLanguage/Intussusception\|Intussusception]]
	**[[Volvulus]]		**[[Special:MyLanguage/Volvulus\|Volvulus]]
	**[[Meckel diverticulum]]		**[[Special:MyLanguage/Meckel diverticulum\|Meckel diverticulum]]
	**[[Necrotizing enterocolitis]]		**[[Special:MyLanguage/Necrotizing enterocolitis\|Necrotizing enterocolitis]]
	**[[Vascular malformation]]		**[[Special:MyLanguage/Vascular malformation\|Vascular malformation]]
	**[[Hemorrhagic disease of newborn]]		**[[Special:MyLanguage/Hemorrhagic disease of newborn\|Hemorrhagic disease of newborn]]
	**[[Hirschsprung disease]]		**[[Special:MyLanguage/Hirschsprung disease\|Hirschsprung disease]]
	**[[Congenital duplications]]		**[[Special:MyLanguage/Congenital duplications\|Congenital duplications]]

	*2mo–2yr		*2mo–2yr
	**[[Anal fissure]]		**[[Special:MyLanguage/Anal fissure\|Anal fissure]]
	**[[Anal fissure]]		**[[Special:MyLanguage/Anal fissure\|Anal fissure]]
	**[[Gastroenteritis]]		**[[Special:MyLanguage/Gastroenteritis\|Gastroenteritis]]
	**Milk allergy		**Milk allergy
	**[[Intussusception]]		**[[Special:MyLanguage/Intussusception\|Intussusception]]
	**[[Volvulus]]		**[[Special:MyLanguage/Volvulus\|Volvulus]]
	**[[Meckel diverticulum]]		**[[Special:MyLanguage/Meckel diverticulum\|Meckel diverticulum]]
	**[[Hemolytic uremic syndrome]]		**[[Special:MyLanguage/Hemolytic uremic syndrome\|Hemolytic uremic syndrome]]
	**[[Henoch-Schönlein purpura]]		**[[Special:MyLanguage/Henoch-Schönlein purpura\|Henoch-Schönlein purpura]]
	**Polyps; benign, familial		**Polyps; benign, familial
	**[[Inflammatory bowel disease]]		**[[Special:MyLanguage/Inflammatory bowel disease\|Inflammatory bowel disease]]
	**GI duplication		**GI duplication
	**Dieulafoy lesion		**Dieulafoy lesion
	*>2yr		*>2yr
	**[[Anal fissure]]		**[[Special:MyLanguage/Anal fissure\|Anal fissure]]
	**[[Anal fissure]]		**[[Special:MyLanguage/Anal fissure\|Anal fissure]]
	**[[Gastroenteritis]]		**[[Special:MyLanguage/Gastroenteritis\|Gastroenteritis]]
	**[[Hemorrhoids]]		**[[Special:MyLanguage/Hemorrhoids\|Hemorrhoids]]
	**Polyps		**Polyps
	**[[Colitis]] (infectious, ischemic)		**[[Special:MyLanguage/Colitis\|Colitis]] (infectious, ischemic)
	**[[Meckel diverticulum]]		**[[Special:MyLanguage/Meckel diverticulum\|Meckel diverticulum]]
	**[[Intussusception]]		**[[Special:MyLanguage/Intussusception\|Intussusception]]
	**[[Hemolytic uremic syndrome]]		**[[Special:MyLanguage/Hemolytic uremic syndrome\|Hemolytic uremic syndrome]]
	**[[Henoch-Schönlein purpura]]		**[[Special:MyLanguage/Henoch-Schönlein purpura\|Henoch-Schönlein purpura]]
	**[[Inflammatory bowel disease]]		**[[Special:MyLanguage/Inflammatory bowel disease\|Inflammatory bowel disease]]
	**Angiodysplasia		**Angiodysplasia
	**[[Celiac disease]]		**[[Special:MyLanguage/Celiac disease\|Celiac disease]]
	**Dieulafoy lesion		**Dieulafoy lesion
	**Rectal ulcer syndrome		**Rectal ulcer syndrome
	**[[Peptic ulcer disease]]		**[[Special:MyLanguage/Peptic ulcer disease\|Peptic ulcer disease]]


	==Evaluation==		==Evaluation==

	*CBC		*CBC
	*[[NG tube\|NG]] lavage		*[[Special:MyLanguage/NG tube\|NG]] lavage
	**Consider for ''suspected''sig. GI blood loss		**Consider for ''suspected''sig. GI blood loss
	**Small child: 12F NG tube; instill 50cc saline		**Small child: 12F NG tube; instill 50cc saline
	**Older child: 14-16F NG tube; instill 100-200cc saline		**Older child: 14-16F NG tube; instill 100-200cc saline
	**Aspirate after 2-3min		**Aspirate after 2-3min


	==Management==		==Management==

	*Contingent on underlying etiology		*Contingent on underlying etiology


	==Disposition==		==Disposition==


	==See Also==		==See Also==

			</translate>
	{{GI bleeding pages}}		{{GI bleeding pages}}
			<translate>


	==External Links==		==External Links==

	*[http://pemplaybook.org/podcast/gi-bleeding-in-children/ Pediatric Emergency Playbook Podcast: GI Bleeding in Children]		*[http://pemplaybook.org/podcast/gi-bleeding-in-children/ Pediatric Emergency Playbook Podcast: GI Bleeding in Children]


	==References==		==References==

	<references/>		<references/>
	[[Category:GI]]		[[Category:GI]]
	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Symptoms]]		[[Category:Symptoms]]
			</translate>

Rossdonaldson1: /* Video */

2024-04-10T15:44:14Z

Video

← Revisión anterior		Revisión del 15:44 10 abr 2024
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	==External Links==		==External Links==
	*[http://pemplaybook.org/podcast/gi-bleeding-in-children/ Pediatric Emergency Playbook Podcast: GI Bleeding in Children]		*[http://pemplaybook.org/podcast/gi-bleeding-in-children/ Pediatric Emergency Playbook Podcast: GI Bleeding in Children]

	~~==Video==~~
	~~{{#widget:YouTube\|id=RW0qAo4mYks}}~~

	==References==		==References==

Rossdonaldson1: /* Differential Diagnosis */

2022-03-29T23:48:36Z

Differential Diagnosis

@@ Línea 12: / Línea 12: @@
 ==Differential Diagnosis==
-===Upper GI Bleeding (peds)===
+{{Upper GI bleeding peds DDX}}
 ===Lower GI Bleeding (peds)===

Rossdonaldson1: /* Clinical Features */

2022-03-29T23:46:53Z

Clinical Features

← Revisión anterior		Revisión del 23:46 29 mar 2022
Línea 9:		Línea 9:

	==Clinical Features==		==Clinical Features==
			*Blood in stool or vomit

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Differential Diagnosis */

2022-03-29T23:04:31Z

Differential Diagnosis

← Revisión anterior		Revisión del 23:04 29 mar 2022
Línea 11:		Línea 11:

	==Differential Diagnosis==		==Differential Diagnosis==
	===Upper GI Bleeding===		===Upper GI Bleeding (peds)===
	*<2mo		*<2mo
	**Swallowed maternal blood (from chapped nipples)		**Swallowed maternal blood (from chapped nipples)
Línea 42:		Línea 42:

	===Lower GI Bleeding (peds)===		===Lower GI Bleeding (peds)===
	~~{\| {{table}}~~		*<2mo
	~~\| align="center" style="background:#f0f0f0;"\|'''~~<~~2 Mo'''~~		**Swallowed maternal blood
	~~\| align="center" style="background:#f0f0f0;"\|'''2 Mo–2 Y'''~~		**Milk allergy
	~~\| align="center" style="background:#f0f0f0;"\|'''>2 Y'''~~		**[[Infectious colitis]]
	\|-		**[[Intussusception]]
	\|		**[[Volvulus]]
	*Swallowed maternal blood		**[[Meckel diverticulum]]
	*Milk allergy		**[[Necrotizing enterocolitis]]
	*[[Infectious colitis]]		**[[Vascular malformation]]
	*[[Intussusception]]		**[[Hemorrhagic disease of newborn]]
	*[[Volvulus]]		**[[Hirschsprung disease]]
	*[[Meckel diverticulum]]		**[[Congenital duplications]]
	*[[Necrotizing enterocolitis]]
	*[[Vascular malformation]]		*2mo–2yr
	*[[Hemorrhagic disease of newborn]]		**[[Anal fissure]]
	*[[Hirschsprung disease]]		**[[Anal fissure]]
	*[[Congenital duplications]]		**[[Gastroenteritis]]
	\|\|		**Milk allergy
	*[[Anal fissure]]		**[[Intussusception]]
	*[[Anal fissure]]		**[[Volvulus]]
	*[[Gastroenteritis]]		**[[Meckel diverticulum]]
	*Milk allergy		**[[Hemolytic uremic syndrome]]
	*[[Intussusception]]		**[[Henoch-Schönlein purpura]]
	*[[Volvulus]]		**Polyps; benign, familial
	*[[Meckel diverticulum]]		**[[Inflammatory bowel disease]]
	*[[Hemolytic uremic syndrome]]		**GI duplication
	*[[Henoch-Schönlein purpura]]		**Dieulafoy lesion
	*Polyps; benign, familial		*>2yr
	*[[Inflammatory bowel disease]]		**[[Anal fissure]]
	*GI duplication		**[[Anal fissure]]
	*Dieulafoy lesion		**[[Gastroenteritis]]
	\|\|		**[[Hemorrhoids]]
	*[[Anal fissure]]		**Polyps
	*[[Anal fissure]]		**[[Colitis]] (infectious, ischemic)
	*[[Gastroenteritis]]		**[[Meckel diverticulum]]
	*[[Hemorrhoids]]		**[[Intussusception]]
	*Polyps		**[[Hemolytic uremic syndrome]]
	*[[Colitis]] (infectious, ischemic)		**[[Henoch-Schönlein purpura]]
	*[[Meckel diverticulum]]		**[[Inflammatory bowel disease]]
	*[[Intussusception]]		**Angiodysplasia
	*[[Hemolytic uremic syndrome]]		**[[Celiac disease]]
	*[[Henoch-Schönlein purpura]]		**Dieulafoy lesion
	*[[Inflammatory bowel disease]]		**Rectal ulcer syndrome
	*Angiodysplasia		**[[Peptic ulcer disease]]
	*[[Celiac disease]]
	*Dieulafoy lesion
	*Rectal ulcer syndrome
	*[[Peptic ulcer disease]]
	\|}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Upper GI Bleeding */

2022-03-29T23:02:37Z

Upper GI Bleeding

@@ Línea 40: / Línea 40: @@
 **Hemobilia
 **[[Ingested foreign body]]
 ===Lower GI Bleeding (peds)===

Rossdonaldson1: /* Lower GI Bleeding */

2022-03-29T23:01:53Z

Lower GI Bleeding

@@ Línea 74: / Línea 74: @@
 *Hematobilia
 *[[Foreign body]]
 |}

Rossdonaldson1: /* Upper GI Bleeding */

2022-03-29T23:01:36Z

Upper GI Bleeding

← Revisión anterior		Revisión del 23:01 29 mar 2022
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	\| align="center" style="background:#f0f0f0;"\|'''>2 Y'''		\| align="center" style="background:#f0f0f0;"\|'''>2 Y'''
	\|-		\|-
	\| Swallowed maternal blood\|\|[[~~Gastroenteritis~~]]\|\|*[[Gastroenteritis]]		\|
	\|-		*Swallowed maternal blood
	~~\| Stress ulcer\|\|~~Toxic ingestion\|\|*[[Mallory-Weiss tear]]		*Stress ulcer
	\|-		*Vascular malformation
	\| Vascular malformation\|\|[[~~Mallory-Weiss tear~~]]\|\|*[[~~Peptic ulcer disease~~]]		*Hemorrhagic disease of newborn (vitamin K deficiency)
	\|-		*[[Coagulopathy]]/bleeding diathesis
	~~\| Hemorrhagic disease of newborn (vitamin K deficiency)\|\|~~[[~~Vascular malformation~~]]\|\|*[[~~Toxic ingestion~~]]		\|\|
	\|-		*[[Gastroenteritis]]
	\| [[~~Coagulopathy~~]]~~/bleeding diathesis\|\|~~[[~~Esophagitis~~]]\|\|*[[Vascular malformation]]		*Toxic ingestion
	\|-		*[[Mallory-Weiss tear]]
	~~\| \|\|Stress ulcer\|\|~~[[Gastritis]]		*[[Vascular malformation]]
	\|-		*[[Esophagitis]]
	~~\| \|\|Bleeding diathesis\|\|~~[[Varices]]		*Stress ulcer
	\|-		*Bleeding diathesis
	~~\| \|\|GI duplication\|\|~~Hematobilia		*GI duplication
	\|-		*[[Foreign body]]
	~~\| \|\|[[Foreign body]]\|\|~~[[Foreign body]]		\|\|
			*[[Gastroenteritis]]
			*[[Gastroenteritis]]
			*[[Mallory-Weiss tear]]
			*[[Peptic ulcer disease]]
			*[[Toxic ingestion]]
			*[[Vascular malformation]]
			*[[Gastritis]]
			*[[Varices]]
			*Hematobilia
			*[[Foreign body]]
	\|}		\|}

Rossdonaldson1: /* Lower GI Bleeding */

2022-03-29T22:55:47Z

Lower GI Bleeding

@@ Línea 40: / Línea 40: @@
 **Hemobilia
 **[[Ingested foreign body]]
 ===Lower GI Bleeding===