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Undiagnosed Rectal Bleeding




General points

  • Patients with persistent low-risk symptoms which do not respond to treatment, or which recur after stopping treatment, should be referred
  • Please consider the most likely diagnoses and tailor referral urgency accordingly i.e. 2 week wait or urgent or routine.

 

2 week wait criteria

RCHT 2WW Forms are available here
 

NB: the risk of having bowel cancer is never zero, even in patients without symptoms. Some cancers will be found incidentally in patients presenting with symptoms from benign disease, and symptomatic cancers can develop in patients who already have symptoms from functional bowel disease or piles. This means that patients with persistent low-risk symptoms which do not respond to treatment, or which recur after stopping treatment, should be referred to routine clinics.

 

Prior to referral

  • PR examination
  • FBC, ferritin and CRP

 

 

Review Date                    12/8/2021

Next Review Date            12/8/2022

Author                               Dr L Vines, RMS GP sifter

 

Version 2.0