Pitfalls

Children presenting to ED with LGIB are most likely to have a benign cause for their bleeding, but keep a high index of suspicion for the rarer more serious causes.
Always consider ‘pseudohaematochezia’⁸– discolouration of stool by ingested substances e.g. liquorice, beetroot.
Beware the button battery or “super strong” magnets⁹ – always take a thorough history and consider potential for foreign body ingestion.