Investigations | Potential results | Clinical management plan: abnormal results |
---|---|---|
1st Line | ||
Dietary assessment | Excess/deficient fibre intake/resistant starch Inadequate fluids | Referral to dietitian and ask patient to complete 7 day dietary diary in advance. Dietitian to assess food diary to determine dietary fibre intake. Give appropriate advice. |
2nd Line | ||
Abdominal X-ray | Constipation | See ‘constipation’ (page 6). |
Faecal loading |
| |
OGD and D2 aspirate and/or glucose hydrogen (methane) breath test | SIBO | Treatment for SIBO (page 17). |
Flexible sigmoidoscopy | Newly diagnosed neoplasm | Refer urgently to the appropriate oncology team, requesting an appointment within 2 weeks. |
Newly diagnosed IBD |
| |
Rectal examination | Pelvic floor dysfunction (page 17) Lax sphincter muscle |
|
IBD, inflammatory bowel disease; OGD, oesophago-gastroduodenoscopy; SIBO, small intestinal bacterial overgrowth.