gi bleed question

Depends on if you know for a fact it's a GI bleed.

Dislodging impacted stool can cause small fissures around the orifice or anywhere in the rectum, especially if stool keeps flowing in with nowhere to go.

Any area in the bowel can become stressed and weak, and thus, at risk for bleeding, if it's allowed to continue.

The color of the blood can give you a clue as to where the bleed is...if it's black or dark...upper GI is suspected...red to bright red...lower GI.

Disimpacting stool is a treatment...but may be a symptom of an underlying disorder, and not just a simple case of severe constipation.

If you could post more information....

Blood was dark red . Pt given suppository and prune juice on 6/2,and impaction removed on 2/10 after which he had two more extra large bowel movements on his own. 2/10 nurse worried might have caused bleeding which occurred after pt had two more xlg bowel movements on his own. Bleeding occurred about an hour after last bm.

If it was dark red, then that was most likely lower GI. This could have been caused by damage to sphincters or intestinal/rectal wall from the straining.

All you can do at this point, since the impaction has been removed, is monitor and suggest an order to test for occult blood.

If he has somewhat regular BM's and is still bleeding, then the MD may want to consider an endo.