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Question: GI bleeding

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What is the most common cause of lower GI tract bleeding in young infants after anal fissure?

What is the most common cause of lower GI tract bleeding in young infants after anal fissure?
GI

pemsou5_wp • January 8, 2019


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  1. Kelly January 8, 2019 - 4:55 pm Reply

    D) Cow’s milk protein sensitivity
    The protein sensitivity causes an allergic proctocolitis, and may present with hematochezia or melena. It most commonly presents in the first 3 months of life. Patients may have anemia and eosinophilia. Treatment is by changing to a hydrolyzed or amino-acid based formula (infants are often sensitive to soy formulas also). C. diff is often falsely positive in young infants, and testing is generally not recommended in < 3 year olds.

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