Algorithm for the management of patients presenting with acute Lower GI Bleed

High-risk patients

Multiple high-risk clinical features.a hemodynamic instability, signs and symptorns of ongoing bleeding, serious comorbid disease → Resuscitate with IV fluids and if indicated, blood product transfusion. Consider management in intensive care unit: exclude an UGIB source. There is no role for unprepped colonoscopy / sigmoidoscopy.

Low-risk patients

No or few high-risk clinical features.a hernodynamically stable, no ongoing bleeding, or serious comorbid disease  → Resuscitate if needed with IV fluids and blood product transfusion. Manage on regular hospital floor.



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