• Often indicate LGIB - Lower GI Bleed, closer to rectum = more bright red, further from rectum = more dark or maroon
  • Bright red blood is typically of an anal, rectal or distal sigmoid source, but may be due to a more proximal source if the bleeding is profound
  • “BRBPR - bright red blood per rectum"
• In unstable patient, should consider UGIB - Upper GI Bleed

Questions:

• Drips into bowl
• Ask if it mixes with stool
  • Internal Hemorrhoid tend to not mix
  • CRC - Colorectal cancer to mix
• Red Flag symptom for CRC