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Lower gastrointestinal bleeding: association with Sevelamer use.
World Journal of Gastroenterology
|April 30, 2008
Summary
Stercoral ulceration, a rare cause of lower gastrointestinal bleeding, can arise from fecal impaction. This case highlights Sevelamer-induced constipation leading to stercoral ulceration and bleeding.
Area of Science:
- Gastroenterology
- Pharmacology
Background:
- Stercoral ulceration is an uncommon cause of lower gastrointestinal bleeding.
- It results from prolonged fecal impaction exerting pressure on the colonic wall.
Observation:
- A case of lower gastrointestinal bleeding was investigated.
- The bleeding was attributed to stercoral ulceration.
Findings:
- The stercoral ulceration was a direct consequence of Sevelamer use.
- Sevelamer is a medication frequently associated with constipation.
Implications:
- This case underscores the importance of recognizing Sevelamer as a potential cause of stercoral ulceration.
- Clinicians should consider medication side effects in patients presenting with unexplained lower gastrointestinal bleeding.
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