Question

A 70-year-old man is found to have anaemia (Hb 92 g/L, MCV 72 fL). He has no overt bleeding but reports change in bowel habit over 3 months and weight loss. What is the most appropriate next step?

Accepted Answer

Urgent two-week wait referral for suspected colorectal cancer

Answer

Start oral iron therapy and review in 6 months

Answer

Order faecal occult blood testing

Answer

Reassure as this is likely dietary deficiency

Answer

Arrange colonoscopy in 1 year

Practice question

A 70-year-old man is found to have anaemia (Hb 92 g/L, MCV 72 fL). He has no overt bleeding but reports change in bowel habit over 3 months and weight loss. What is the most appropriate next step?