Fully Mixed with blood

Lines of Blood Sudden Gradual

+ Mucus

Progression Consistancy

Dark Color Bright (Hematochezia) Bloody Amount Streaks Dark Analysis Odor

Frequency Which part of motion Specific time during month rectal Endometriosis Painful All Infection Acute Partial Early Anal Fissure, Thrombosed Hemorroids Onset Late Chronic

Bloody-Dark Fatigue Fever Palpitation Dizziness Stool Abdominal pain

Angina Symptoms of Tenismus hypovolemia Dysphagia Sweating SOB Depression Anal itch Hemorroids, anal fissure, Diarrhea Change in bowel habit

Hematemesis/ UPPER GI BLEEDING: Abdominal Pain Associated Abdominal Distension Coffee-ground Vomiting Esophageal Varices, PUD, Gastritis Intestinal Obstruction, Sypmtoms intussusception, Mesentric Constipation Diverticulitis, Rectal CA, Constipation Hemorroids, Anal Fissure Thrombosis or embolism Vomiting

Gastritis, esophagitis, GERD, PUD, Stomach CA, HeartBurn Mesentric embolism or thrombosis, meckles diverticulum Easy Bruising Wt loss Other Bleeding Bleeding Gum Epistaxis ↓ Appetite Cancer Sites Hematuria Swollen Painful Joints Early Satiety Bleeding duodenal ulcer Gastric ulcer Gastric carcinoma INFECTION: Esophageal carcinoma - Shigella (bacillary) dysentery Esophageal varices Acute bloody - Campylobacter enteritis Meckel's diverticulum diarrhea ± - Enteroinvasive Escherichia coli Melena mucus - Enterohaemorrhagic type 0157 E. coli Other causes: angiodysplasia, bleeding disorders - Entamoeba histolytica (amoebic) dysentery False Melena: First episode of cause of recurrent bloody Diarrhea - Black licorice - Blueberries, - Iron supplements - Lead - Bismuth (Pepto-bismol)

Bleeding haemorrhoids Anal fissure Diverticulitis Crohn's disease Rectal Carcinoma Recurrent Ulcerative colitis Colonic carcinoma diarrhea Red Bloody Colonic carcinoma Ulcerative colitis with blood ± Stool Colorectal carcinoma Meckel's diverticulum mucus Crohn's disease Diverticular disease/ diverticulitis Massive upper GI bleed Trauma Intussusception