dcpark74

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So, which of the two causes hematochezia?

BRS says diverticulitis
Robbins says diverticulosis

so? i vote for robbins. (stupid ? i know, but conflicting data)
 

tkim

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http://www.emedicine.com/med/topic578.htm

"Hematochezia, or bright red blood per rectum, is not a symptom of diverticulitis, although occult blood in the stool is present in approximately 25% of patients with diverticulitis. When hematochezia is noted, other causes (eg, hemorrhoids, neoplastic disease, colitis, vascular ectasias, arterial bleeding from diverticulosis) should be considered."
 
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dcpark74

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thanks for the reply.

Harvard has a website that i went to and had a video. it says diverticulosis, even though 1/1000 patients present with hematochezia, 85% of those will spontaneously heal. Remainder need intervention.

:) always go to harvard if there is a discrepancy.
 
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Blade28

You could always check out emedicine.com, uptodate.com, Harrison's or Sabiston's too. :)
 

b&ierstiefel

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Diverticulosis = non-inflammatory condition (no fever, no increased WBC count --> just painless bleeding out of the ass.

Diverticulitis = inflammation of a diverticulum --> fever, increased WBC, pain (bleeding is optional).