Pitfalls

  • Children presenting to ED with LGIB are most likely to have a benign cause for their bleeding, but keep a high index of suspicion for the rarer more serious causes.
  • Always consider pseudohaematochezia8 discolouration of stool by ingested substances e.g. liquorice, beetroot.
  • Beware the button battery or super strong magnets9 always take a thorough history and consider potential for foreign body ingestion.