Review Article

Lower Gastrointestinal Bleeding in Chronic Hemodialysis Patients

Table 1

Important facts about LGI bleed in CKD patients.

(i) Suspect GI blood loss if iron stores are not replenished despite adequate iron replacement or if a sudden drop in stable hemoglobin is seen.
(ii) Oral iron can cause black stools and give false positive guaiac test in CKD patients.
(iii) Avoid phosphorus or magnesium based colonic preparations in CKD patients [71].