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Knowledge Centre / Haematochezia (Fresh Rectal Bleeding)

Haematochezia (Fresh Rectal Bleeding)

Assessment and management of lower gastrointestinal bleeding.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner)
Last reviewed: 30 August 2025
GastroenterologySurgery

Clinical Guidelines

BSG: Diagnosis and management of acute lower gastrointestinal bleeding
National
CKS: Gastrointestinal tract (lower) cancers - recognition and referral
National
CKS: Haemorrhoids - Diagnosis
National
RCS: Rectal Bleeding - Commissioning Guide
National

Recent iatroX Q&As

  • What initial investigations should I consider for a patient presenting with haematochezia in primary care?Updated: 8/22/2025
  • How do I differentiate between benign and serious causes of fresh rectal bleeding in adults?Updated: 8/22/2025
  • What are the referral criteria for patients with haematochezia to secondary care?Updated: 8/22/2025
  • What management strategies are recommended for patients with mild to moderate rectal bleeding without alarming features?Updated: 8/22/2025
  • How should I counsel patients regarding the potential causes and implications of haematochezia?Updated: 8/22/2025
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