A 48-year-old man presents with bright red rectal bleeding on the toilet paper and in the bowl, associated with straining. Digital rectal examination ...

Question

A 48-year-old man presents with bright red rectal bleeding on the toilet paper and in the bowl, associated with straining. Digital rectal examination reveals a small, soft, non-tender lump at the anal margin, and there are no red flag features. Which initial management is most appropriate?

Accepted Answer

High-fibre diet, stool softeners and topical haemorrhoid preparations

Answer

Urgent colonoscopy within 24 hours

Answer

Empirical oral antibiotics

Answer

Immediate haemorrhoidectomy in theatre

Answer

No intervention and no follow-up

au-racgp MCQ (SBA): Haemorrhoids - conservative management

A 48-year-old man presents with bright red rectal bleeding on the toilet paper and in the bowl, associated with straining. Digital rectal examination reveals a small, soft, non-tender lump at the anal margin, and there are no red flag features. Which initial management is most appropriate?