A 62-year-old man presents with a three-month history of change in bowel habit to looser, more frequent stools and tenesmus. He has also noticed recta...

Question

A 62-year-old man presents with a three-month history of change in bowel habit to looser, more frequent stools and tenesmus. He has also noticed rectal bleeding. He has no previous colonoscopy. What is the most appropriate next step in primary care

Accepted Answer

Offer a 2-week wait urgent colorectal cancer referral

Answer

Prescribe Loperamide and review in 3 months

Answer

Reassure as haemorrhoids are likely

Answer

Arrange faecal occult blood testing and await results before referral

Answer

Start iron supplementation and monitor

uk-plab-1 MCQ (SBA): Suspected colorectal cancer

A 62-year-old man presents with a three-month history of change in bowel habit to looser, more frequent stools and tenesmus. He has also noticed rectal bleeding. He has no previous colonoscopy. What is the most appropriate next step in primary care