The parents of an otherwise robust 3-year-old boy brought him with a frantic report of bright red bleeding per anus. The patient does not have a pain, fever, malaise, or rash. The parents told that toilet bowl seemed filled with blood and clots, but the anus wipes clean with one swipe and no further blood was seen. The child is in no distress and wonders what all the fuss is about. His vital signs are normal for age, and physical examination shows no abnormalities, including external inspection of the anus with the child in the knee-chest position on his left side to enable full exposure of the anus down to the internal anal sphincter.
It appears that the child may have Lower GI bleeding. What should be the further exploration and management strategy for such patients? *This case is from Docplexus Editorial Team for educative purpose only.
