{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T17:24:14Z","timestamp":1784654654424,"version":"3.55.0"},"reference-count":0,"publisher":"Maad Rayan Publishing Company","issue":"3","content-domain":{"domain":["mejdd.org"],"crossmark-restriction":false},"short-container-title":["Middle East J Dig Dis"],"published-print":{"date-parts":[[2023,7,30]]},"abstract":"<jats:p>Background: Lower gut bleeding is an alarming sign among caregivers. Determining the etiology is of utmost importance for further management. This is the first study conducted in northernmost India. Methods: This cross-sectional study was conducted at the Department of Pediatrics, Government Medical College, Srinagar. This study aimed to describe the etiology of lower gastrointestinal bleeding in the age group of 1-18 years over the past 5 years from June 2017 to June 2022. Results: A total of 310 children presented with hematochezia (53.5%), blood mixed with loose stools for &gt; 2 weeks (39.3%), melena (1.9%), and occult blood in stools (0.3%). The mean age was 5.12 years. The age group of 1-6 years was 73.5 %. The most common findings were rectosigmoid polyps n=104 (33.5%), anal fissure n=47 (15.1%), lymphoid nodular hyperplasia (LNH) n=38 (12.2%), trichuris dysentery syndrome n=30(9.7%), cow\u2019s milk protein allergy n=27(8.7%), non-specific colitis n=18(5.8%), solitary rectal ulcer syndrome n=14(4.5%), inflammatory bowel disease n=6 (1.9%),intestinal tuberculosis n=3(0.9%), duodenal dieulafoy lesion 1(0.3%), and blue bleb nevus rubber syndrome n=1(0.3%). 21 patients had a normal colonoscopy. The colonoscopy yield was 93.3 %. Among the colonoscopy-negative patients, 6(1.6%) had Meckel\u2019s diverticulum, and 1(0.3%) had a duodenal dieulafoy lesion. Conclusion: Lower GI bleeding most commonly presents as hematochezia, and the most common cause is a rectosigmoid polyp. Colonoscopy is the procedure of choice to evaluate the etiology of lower GI bleeding. Anal fissures, LNH, Trichuris trichiura, and cow\u2019s milk protein allergy are other common causes of lower gut bleeding in Kashmir, northernmost India.<\/jats:p>","DOI":"10.34172\/mejdd.2023.341","type":"journal-article","created":{"date-parts":[[2023,11,11]],"date-time":"2023-11-11T10:51:56Z","timestamp":1699699916000},"page":"180-184","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Etiological Profile of Lower Gastrointestinal Bleeding in Children and Adolescents from Kashmir; A Tale of 5 Years"],"prefix":"10.34172","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3925-1344","authenticated-orcid":true,"given":"Ishaq","family":"Malik","sequence":"first","affiliation":[{"name":"Department of Pediatrics Government Medical College Srinagar Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdus","family":"Sami","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Government Medical College Srinagar Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waseem","family":"Yousuf","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Government Medical College Srinagar Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed","family":"Tariq","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Government Medical College Srinagar Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadan","family":"Jan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Government Medical College Srinagar Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tabish","family":"Niyaz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Government Medical College Srinagar Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2023,7,30]]},"container-title":["Middle East Journal of Digestive Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/mejdd.org\/index.php\/mejdd\/article\/view\/2779\/2321","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/mejdd.org\/index.php\/mejdd\/article\/view\/2779\/2321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,11]],"date-time":"2023-11-11T10:51:56Z","timestamp":1699699916000},"score":1,"resource":{"primary":{"URL":"http:\/\/mejdd.org\/index.php\/mejdd\/article\/view\/2779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,30]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,7,30]]}},"URL":"https:\/\/doi.org\/10.34172\/mejdd.2023.341","relation":{},"ISSN":["2008-5249"],"issn-type":[{"value":"2008-5249","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7,30]]},"assertion":[{"value":"Iranian Association of Gastroerterology and Hepatology","name":"journal_owner","label":"Journal Owner"},{"value":"Iranian Association of Gastroerterology and Hepatology","name":"journal_publisher","label":"Journal Publisher"},{"value":"2022-12-19","order":1,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}