skip to main content

Constipation red flags — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyGastrointestinal TherapeuticsConstipation red flagsGPhC CRA

A 68-year-old patient asks for a laxative for new constipation lasting 6 weeks. They report unintentional weight loss and intermittent rectal bleeding. They have no previous bowel symptoms. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Refer urgently for medical assessment

New change in bowel habit with weight loss and rectal bleeding is a red-flag presentation. The patient needs urgent medical assessment rather than routine OTC laxative supply. Codeine and loperamide may worsen constipation and delay diagnosis.

Reference: NICE CKS