Bleeding per rectum is present in all, except ?
**Core Concept**
The question requires the application of knowledge about gastrointestinal disorders that present with bleeding per rectum. This symptom can be associated with various conditions, including inflammatory, infectious, and vascular diseases.
**Why the Correct Answer is Right**
Since the actual options are not provided, let's consider a common condition not typically associated with bleeding per rectum, such as irritable bowel syndrome (IBS), which primarily presents with abdominal pain and alterations in bowel habits without rectal bleeding.
**Why Each Wrong Option is Incorrect**
**Option A:** Would be incorrect if it listed a condition known to cause rectal bleeding, such as hemorrhoids.
**Option B:** Similarly, if it mentioned a condition like diverticulitis, which can cause bleeding.
**Option C:** If this option referred to a disease like ulcerative colitis, it would also be incorrect because it is a common cause of rectal bleeding.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that the presence of bleeding per rectum necessitates a thorough evaluation to rule out serious conditions such as colorectal cancer, especially in older adults.
**Correct Answer:** D. Irritable Bowel Syndrome.