A 48-year-old man presents to his GP with a 3-month history of intermittent rectal bleeding and change in bowel habit. He has delayed seeking care. Hi...

Question

A 48-year-old man presents to his GP with a 3-month history of intermittent rectal bleeding and change in bowel habit. He has delayed seeking care. His last iFOBT through the National Bowel Cancer Screening Program was 4 years ago and was negative. What is the most appropriate management?

Accepted Answer

Arrange prompt colonoscopy referral to investigate symptoms despite previous negative iFOBT

Answer

Reassure because a negative iFOBT within 5 years rules out bowel cancer

Answer

Repeat iFOBT and act only if positive

Answer

Treat presumptively as haemorrhoids without investigation

Answer

Advise dietary fibre increase and review in 12 months

au-amc MCQ (SBA): Symptomatic colorectal cancer assessment

A 48-year-old man presents to his GP with a 3-month history of intermittent rectal bleeding and change in bowel habit. He has delayed seeking care. His last iFOBT through the National Bowel Cancer Screening Program was 4 years ago and was negative. What is the most appropriate management?