Straining in Pediatrics — 3yo Child | Pediatric Gastroenterology | SMLE Q#11531
SMLE Question #11531
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 3-year-old boy is brought to clinic for 2 days of bright red blood in his diaper. The bleeding is painless and not associated with straining, diarrhea, vomiting, or abdominal pain. He is playful and active. Abdominal examination is soft and non-tender with no distension or palpable masses. Rectal examination shows bright red blood on the glove with no fissures or external hemorrhoids. What is the most likely diagnosis?
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