Approach to Bright Red Blood Per Rectum (BRBPR)

Term

Features

Hematochezia

• Most commonly maroon or bright red blood per rectum (BRBPR)
• Can be due to small bowel bleeding or massive upper GI bleeding
• Blood from left side of colon usually bright red
• Blood from right side of colon usually dark or maroon color

Minimal BRBPR

• Small amount of intermittent bright red blood
• Usually suggest lesion near anal canal
• Can present as blood on toilet paper or few drops of blood in toilet after defecation