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Gastroentestinal Bleeding
Leo Leonidas MD, FAAP
WARNING, WARNING, WARNING; This section is for my
Tufts University medical students. If you are a
"worrier" type or a very anxious parent, please talk
to your clinician about your child's problem or
symptoms, rather than reading this differential
diagnosis.
CAUSES OF GASTROENTESTINAL BLEEDING
Neonatal Period
1. Swallowed blood
2. Hematologic
ITP (Idiopathic Thrombocytopenic Purpura)
Hypoprothrombinemia
Afibrongenemia
3. Trauma to Rectum
4. Gastroenteritis
5. Necrotizing Enterocolitis
6. Peptic ulcer
7. Severe congenital heart D
8. Midgut Volvulus
9. Acute ulcerative colitis
10. Intestinal obstruction
11. Sepsis
12. Peritonitis
13. Hypoglycemia
14. Milk/food allergy
Infancy
1. Intussuception
2. Volvulus
3. Gangrenous Bowel
4. Acute Intestinal ischemia
5. Meckel Diverticulum
6. Enterocolitis & infec LBM
7. Esophageal varices
8. Esophagitis
9. Hemangioma
10. Anal fissure
11. Milk allergy
12. Ulcer peptic
Micellaneous
1. Cryptitis
2. Necrotizing Enterocolitis
3. Nodular Lymphoid Hyperpl
4. Chronic Granulomatous Dis
5. Diverticulitis
6. Scurvy
7. Uremia
8. Blunt Injury to bowel
9. Hemolytic Uremic syndrome
10. Intestinal Parasites
11. Scorpion bite
12. Pseudoxanthoma Elasticum
13. Hemangioma
14. Polyposis
Mimics
Red Stools
1. Red beets
2. Additives Food coloring
3. Tomatoes
Black stools
1. Licorice
2. Iron
3. Bismuth
4. Charcoal
Leo Leonidas, MD, FAAP
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