Investigations | Potential results | Clinical management plan: abnormal results |
---|---|---|
Check haemoglobin and RBC indices Check clotting and haematinics if heavy bleeding has occurred | Abnormal | Follow treatment for abnormal blood results (pages 2–3). |
OGD and colonoscopy | Radiation-induced telangiectasia in the colon or terminal ileum |
|
Primary inflammatory bowel disease |
| |
Diverticular bleeding | This is an emergency Discuss immediately with a GI surgeon. | |
Upper GI source for bleeding | This is an emergency Discuss immediately with a gastroenterologist. | |
Newly diagnosed neoplasia 2nd primary/tumour recurrence/advanced polyp | Refer urgently to the appropriate oncology team requesting an appointment within 2 weeks. | |
If all tests are negative, but symptoms persist |
|
APC, argon plasma coagulation; GI, gastrointestinal; GP, general practitioner; OGD, oesophago-gastroduodenoscopy; RBC, red blood cell; RFA, radiofrequency ablation.