7th May 2021
Potential pitfall:
Rectal bleeding is a key symptom of colorectal cancer, but there are also a number of other benign causes. Tumours often bleed intermittently, so careful history taking is vital if other concerning symptoms are present.
Helpful hint:
NICE NG12 guidelines recommends referring adults using a suspected cancer pathway referral (for an appointment within 2 weeks) if they are 50 and over with unexplained rectal bleeding; and to consider a referral in adults aged under 50 with rectal bleeding and any of the following unexplained symptoms or findings:
- abdominal pain
- change in bowel habit
- weight loss
- iron‑deficiency anaemia.
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