A 33-year-old man presents with a 2-week history of rectal bleeding - bright red blood on the toilet paper and coating the stools. He denies changes i...

Question

A 33-year-old man presents with a 2-week history of rectal bleeding - bright red blood on the toilet paper and coating the stools. He denies changes in bowel habit, weight loss, or abdominal pain. Digital rectal examination reveals internal haemorrhoids. What is the most appropriate initial management?

Accepted Answer

Prescribe topical hydrocortisone/lidocaine ointment and advise on high-fibre diet

Answer

Urgent colonoscopy

Answer

Flexible sigmoidoscopy

Answer

Referral to colorectal surgery

Answer

CT colonography

mrcgp akt MCQ (SBA): Haemorrhoids Management