Lehmann Marko, Stallmach Andreas
Klinik für Innere Medizin II, Abteilung for Gastroenterologie, Hepatologie und Infektiologie, Friedrich-Schiller-Universität Jena,
Med Monatsschr Pharm. 2010 Oct;33(10):385-90; quiz 391-2.
Blood in faeces or stains of blood on the surface or toilet paper are common problems among all age groups. Too few patients seek medical consultation because of these symptoms. The differential diagnosis is quite large. Most cases are caused by benign anorectal diseases like hemorrhoids. On the other hand neoplasias of the anus and intestine or inflammatory bowel disease are important diagnoses to be considered. We emphasize that every patient should be seen by a doctor and endoscopic investigation should be discussed.
粪便带血或粪便表面或卫生纸上有血迹是所有年龄段人群的常见问题。因这些症状寻求医疗咨询的患者太少。鉴别诊断范围相当广泛。大多数病例由痔疮等良性肛肠疾病引起。另一方面,肛门和肠道的肿瘤或炎症性肠病也是需要考虑的重要诊断。我们强调每位患者都应就医,并应讨论进行内镜检查。