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Description

Recent reports from Numerator indicate that GLP-1 households are decreasing food and alcohol purchases more significantly than households without GLP-1 users and, particularly those with individuals using the drug for weight loss

Know that any medication has side effects and you should talk to your doctor and pharmacist to understand what to watch for

Alexander Shapsis, MD is a board-certified gastroenterologist and medical weight-loss specialist with extensive experience treating obesity and metabolic disorders using GLP-1 therapies, including semaglutide (Ozempic and Wegovy) and tirzepatide

Ozempic works by mimicking the action of a naturally occurring hormone called GLP-1, which is released by the intestines in response to food intake

Imaging & Endoscopy PR exam & proctoscopy Flexible sigmoidoscopy colitis, hemorrhoids, polyps Colonoscopy full bowel inspection CT Angiography for active, large volume bleeds Technetium scan Meckels diverticulum, angiodysplasia Small bowel enema, capsule endoscopy for obscure bleeds Emergency Management of Lower GI Bleeding Step 1: Resuscitation PR exam + rigid sigmoidoscopy IV fluids, crossmatch blood Monitor vitals, urine output Step 2: Identify Source Major PR bleed CT angiography + intervention Stable colonoscopy (prepped/unprepped) Step 3: Targeted Management Diverticular bleed often self-limiting Angiodysplasia endoscopic coagulation or angiographic embolization Polyps/cancer polypectomy or surgery Meckels diverticulum surgical resection Ischemia fluids, antibiotics, surgery if infarcted Hemorrhoids/fissure local measures, dietary fiber, topical agents Surgical Management Options Laparotomy for uncontrolled bleeding Resection for tumors, ischemia On-table colonoscopy in acute setting Split colostomy if life-threatening & unstable FAQs About Lower GI Bleeding Is bright red blood in stool always serious