November 1986

Hematochezia in Infants Less Than 6 Months of Age

Author Affiliations

Department of Pediatrics Baylor College of Medicine Medical Towers Building, Suite 601 6608 Fannin St Houston, TX 77030

Am J Dis Child. 1986;140(11):1097-1098. doi:10.1001/archpedi.1986.02140250023019

Sir.—Rectal bleeding is a common problem seen by the general pediatrician. Traditionally, anal fissures have been accepted as the most common cause, although not all infants fit into this diagnostic category. Therefore, depending on the signs and symptoms, other clinical entities, eg, acute colitis of varying causes, must be considered.

There are few reports in the literature regarding the frequency of different diagnoses, especially in the infant less than 6 months of age. We investigated the frequency of different disorders that resulted in rectal bleeding in this age group and also determined the most useful laboratory and clinical tests to diagnose such disorders.

A retrospective analysis was made of all infants less than 6 months of age who were referred to our pediatric gastroenterology service because of rectal bleeding. If a diagnosis could not be made based on history and results of a physical examination, infants underwent a proctoscopy,

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