Approach to hematochezia (pediatrics) Quiz: Ace Your Exams
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A 3-month-old boy is brought to the pediatrician for evaluation of streaks of bright red blood in the stool for one week. The caregiver reports the infant has been exclusively breastfed and otherwise appears healthy. Feeding patterns are normal, with no vomiting, diarrhea, abdominal pain, or distension. There has been no recent travel. Growth and weight gain have been appropriate. Family history is unremarkable. Vital signs are within normal limits. The infant appears well-nourished and alert. Abdominal examination reveals a soft, nontender abdomen with normal bowel sounds. A stool sample is positive for occult blood but negative for leukocytes. Which of the following is the best next step in management?
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