Dr.V.G.Mohan Prasad explains about Lower GastroIntestinal Bleeding (LGIB) Procedures and Treatment - Gastro Update 2019
- 4 years ago
As part of the 10th anniversary of VGM Hospital, a flagship program "Gastro Update 2019" was conducted, many specialist doctors participated and spoke about various medical conditions, treatment procedures, and the latest trends in the field of Gastroenterology.
In this video, the chairman of VGM Hospital Dr. V G Mohan Prasad M.D., D.M.(GASTRO), FRCP (E), FICP, FASGE, FSGEI, explains about the causes, symptoms, diagnosis, and treatment of the Lower Gastrointestinal Bleeding (LGIB) condition with appropriate examples.
At the start of the session, Dr. VGM placed a question, If it is Bleeding PR: Is it always piles? Then he defined, what is Lower GI Bleed(LGIB) condition. To demonstrate the fact that LGIB can be other conditions as well, Dr. VGM came up with various examples like, a case of a 10-years old girl presenting with Recurrent Fresh Bleed PR(1 month) which is just a polyp and can be removed to cure it. In another case of a 15-years old boy presenting with Bleeding PR(1 week), and mucus discharge which is again may be a polyp, but the association with straining at defecation led to discover it is a Solitary rectal ulcer syndrome(SRUS).
Later, Dr. VGM moved to adult cases and showed us several examples like, A case of a 59-years old person presenting with painless bleeding PR(1week) and fresh blood, which is just a haemorrhoidal bleed, and in another case a 50-years old person presenting with bleed PR(15days), and associated with hard feces, straining at defecation and pain at anal verge which is nothing but an anal fissure. He also explained some complicated cases like, a 58-years old presenting with on & off Bleeding PR(1month), blood mixed with mucus mores since one day, and an important symptom nocturnal bowel opening is a very pathetic scenario and after tests & results it is found as an Ulcerative colitis and how the needful was done to cure it. The LGIB cases of the 60-years old and 70-years old who suffered from carcinoma colon or malignancy and a 75-years old with an amebic colitis condition are further proof that there are more risky possibilities for Bleeding PR.
Following the common causes of LGIB, Dr. VGM warned to beware of the mimickers, in rare cases a massive Upper GI bleed presented as hematochezia, a bright red Bleeding-PR. With some examples of mimickers, the various Upper GI Bleed and Mid GI Bleed conditions like hematochezia, Post-sphincterotomy bleed, fundal variceal bleed, Crohn's Disease, Ileal bleed, etc. were brought into the light.
Watch the full video to learn more about the LGIB, types & outcomes of LGIB, presentation, assessment, pulse rate & BP, management, diagnosis, lab investigations, treatment, etc. Finally, Dr. VGM concluded with an answer to his initial question, for dealing with LGIB you must be a good finder and identify the source first to proceed with the right treatment because all Bleeding PR is not always a Piles.
https://www.vgmgastrocentre.com
In this video, the chairman of VGM Hospital Dr. V G Mohan Prasad M.D., D.M.(GASTRO), FRCP (E), FICP, FASGE, FSGEI, explains about the causes, symptoms, diagnosis, and treatment of the Lower Gastrointestinal Bleeding (LGIB) condition with appropriate examples.
At the start of the session, Dr. VGM placed a question, If it is Bleeding PR: Is it always piles? Then he defined, what is Lower GI Bleed(LGIB) condition. To demonstrate the fact that LGIB can be other conditions as well, Dr. VGM came up with various examples like, a case of a 10-years old girl presenting with Recurrent Fresh Bleed PR(1 month) which is just a polyp and can be removed to cure it. In another case of a 15-years old boy presenting with Bleeding PR(1 week), and mucus discharge which is again may be a polyp, but the association with straining at defecation led to discover it is a Solitary rectal ulcer syndrome(SRUS).
Later, Dr. VGM moved to adult cases and showed us several examples like, A case of a 59-years old person presenting with painless bleeding PR(1week) and fresh blood, which is just a haemorrhoidal bleed, and in another case a 50-years old person presenting with bleed PR(15days), and associated with hard feces, straining at defecation and pain at anal verge which is nothing but an anal fissure. He also explained some complicated cases like, a 58-years old presenting with on & off Bleeding PR(1month), blood mixed with mucus mores since one day, and an important symptom nocturnal bowel opening is a very pathetic scenario and after tests & results it is found as an Ulcerative colitis and how the needful was done to cure it. The LGIB cases of the 60-years old and 70-years old who suffered from carcinoma colon or malignancy and a 75-years old with an amebic colitis condition are further proof that there are more risky possibilities for Bleeding PR.
Following the common causes of LGIB, Dr. VGM warned to beware of the mimickers, in rare cases a massive Upper GI bleed presented as hematochezia, a bright red Bleeding-PR. With some examples of mimickers, the various Upper GI Bleed and Mid GI Bleed conditions like hematochezia, Post-sphincterotomy bleed, fundal variceal bleed, Crohn's Disease, Ileal bleed, etc. were brought into the light.
Watch the full video to learn more about the LGIB, types & outcomes of LGIB, presentation, assessment, pulse rate & BP, management, diagnosis, lab investigations, treatment, etc. Finally, Dr. VGM concluded with an answer to his initial question, for dealing with LGIB you must be a good finder and identify the source first to proceed with the right treatment because all Bleeding PR is not always a Piles.
https://www.vgmgastrocentre.com