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What red flag symptoms should prompt urgent referral for a patient with unintentional weight loss?
Answer
Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025
Red flag symptoms that should prompt an urgent referral for a patient presenting with unintentional weight loss include:
- Unexplained weight loss with abdominal pain in adults aged 40 and over, which warrants an urgent suspected cancer pathway referral 1.
- Unexplained weight loss with rectal bleeding in adults under 50, which warrants an urgent suspected cancer pathway referral 1.
- Unexplained weight loss in adults aged 50 and over, which warrants an urgent suspected cancer pathway referral 1.
- Unexplained weight loss in adults aged 40 and over who have ever smoked, which warrants an urgent chest X-ray within 2 weeks 1.
- Unexplained weight loss in adults aged 40 and over exposed to asbestos, which warrants an urgent chest X-ray within 2 weeks 1.
- Unexplained weight loss with cough, fatigue, shortness of breath, chest pain, or appetite loss in adults aged 40 and over who have never smoked, which warrants an urgent chest X-ray within 2 weeks 1.
- Unexplained weight loss with unexplained splenomegaly, which warrants consideration of a suspected cancer pathway referral 1.
- Unexplained weight loss with unexplained lymphadenopathy, which warrants consideration of a suspected cancer pathway referral 1.
These symptoms are considered red flags indicating potential underlying malignancy and require urgent investigation or referral 1.
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