Principles of Management
Prime Endoscopy have developed these guidelines for the management of Rectal Bleeding (word doc) using BSG and NICE guidelines.
There is also a good summary on rectal bleeding in adults in patient.co.uk
Please see endoscopy section for advice on referral for lower GI scope.
Red flags for patients with rectal bleeding include:
Rectal or abdominal mass.
Patients aged under 50 with rectal bleeding and any of the following: abdominal pain, change in bowel habit, weight loss, iron deficiency anaemia.
Any patient aged 50 and over with unexplained rectal bleeding.
See lower GI 2WW guidelines for further information.