Colonoscopic Findings in Patients with Lower Gastrointestinal Symptoms at a Tertiary Care Hospital of South Punjab, Pakistan


  • Author- Hafiz Muhammad Kaleem Ullah, Muhammad Shafiq, Qazi Masroor Ali, Shahzeb Ahmed, Arooba Iftikhar, Qudsia Anwar


In the last few decades, lots of improvement has been seen is diagnosis and treatment of patients with lower gastrointestinal (GI) disorders. To determine colonoscopic findings among patients presenting with lower gastrointestinal (GI) symptoms.


This cross-sectional descriptive study was conducted at The Department of Medicine, Civil Hospital, Bahawalpur from January to December 2019. A total of 150 patients of both gender aged 18 to 65 years and lower GI symptoms were enrolled. All patients were enrolled from emergency or outpatient department and admitted. Patient's demographics along with indications for colonoscopy and colonoscopic findings were recorded. Age was represented as mean and standard deviation while qualitative variables like gender and coloscopic findings were shown as frequency and percentages.


 Out of a total of 150 patients, 102 (68.0%) were male. Mean age was noted to be 42.10 years with standard deviation of 15.4 years. Topical Xylocaine Gel only was the commonest choice adopted as premedication in 102 (68.0%) patients. Ulcerative colitis was the most frequent colonoscopic finding seen amongst 20 (13.3%) patients followed by hemorrhoids 19 (12.7%), anusitis 17 (11.3%), suspected CAcolon 16 (10.7%) and solitary rectal ulcer 12 (8.0%). Normal Colonoscopic finding was observed among 50 (33.3%) patients


 Ulcerative colitis followed by hemorrhoids, anusitis and suspected CA colon were the most common Colonoscopic findings. Most common indications for colonoscopy were revealed to be bleeding per rectum followed by lower abdominal pain.


Colonoscopy, Lower Abdominal Pain, Bleeding per Rectum, Ulcerative Colitis.