{"id":320,"date":"2017-03-26T12:45:08","date_gmt":"2017-03-26T12:45:08","guid":{"rendered":"http:\/\/papergp.com\/index.php\/gi-and-renal\/rectal-bleeding\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"rectal-bleeding","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/gi\/rectal-bleeding\/","title":{"rendered":"Rectal bleeding"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; weight loss, change in bowel habit, abdo pain, fevers<\/li>\n<li>Others &#8211; pain on defaecation, itching, constipation<\/li>\n<li>Examine &#8211; abdominal exam, PR exam<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;\n<\/p><div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, U+Es, LFTs, Ferritin, ESR, CRP, clotting<\/li>\n<li>Stool &#8211; MC&amp;S<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>a small tube with a tiny camera is inserted into the back passage to investigate the cause of the bleeding<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Depends on cause\n<ul>\n<li>Fissure &#8211; dietary and fluid advice, GTN ointment and stool softeners for 8 weeks<\/li>\n<li>Haemorrhoids &#8211; dietary and fluid advice, OTC haemorrhoid creams<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Refer\n<ul>\n<li>failed conservative treatemnt for fissure\/haemorrhoids after 6 weeks<\/li>\n<\/ul>\n<\/li>\n<li>2 week wait\n<ul>\n<li>40yo + weight loss + abdo pain<\/li>\n<li>50yo + PR bleed<\/li>\n<li>60yo + iron def anaemia or bowel habit changes<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5><\/h5>\n<\/div>\n\n\n<h4 class=\"wp-block-heading\">Reference<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/gps.camdenccg.nhs.uk\/pathways\/adult-rectal-bleeding\">https:\/\/gps.camdenccg.nhs.uk\/pathways\/adult-rectal-bleeding<\/a><\/li><li>http:\/\/gp.barnetccg.nhs.uk\/downloads\/services\/pathways\/Gastroenterology\/Rectal-bleeding-protocol-July-2018-v7-3.pdf<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; weight loss, change in bowel habit, abdo pain, fevers Others &#8211; pain on defaecation, itching, constipation Examine &#8211; abdominal exam, PR exam &nbsp; Clinical management Investigations Bloods &#8211; FBC, U+Es, LFTs, Ferritin, ESR, CRP, clotting Stool &#8211; MC&amp;S Explanation a small tube with a tiny camera is inserted into the &hellip; <a href=\"https:\/\/papergp.com\/index.php\/gi\/rectal-bleeding\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Rectal bleeding<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":315,"menu_order":65,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-320","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/320","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=320"}],"version-history":[{"count":6,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/320\/revisions"}],"predecessor-version":[{"id":2406,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/320\/revisions\/2406"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/315"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}