Question

A 54-year-old woman presents with microcytic anaemia (Hb 92 g/L, MCV 72 fL). Ferritin is low. She has no menorrhagia and is post-menopausal. Faecal occult blood testing is positive. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent two-week-wait referral for colonoscopy

Answer

Start oral iron and review in 6 months

Answer

Arrange urgent upper GI endoscopy only

Answer

Reassure that this is likely dietary iron deficiency

Answer

Start long-term proton pump inhibitor therapy

Practice question

A 54-year-old woman presents with microcytic anaemia (Hb 92 g/L, MCV 72 fL). Ferritin is low. She has no menorrhagia and is post-menopausal. Faecal occult blood testing is positive. What is the most appropriate next step in management?