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Faecal incontinence assessment — DGM MCQ

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ModerateContinenceFaecal incontinence assessmentDGM

An 80-year-old woman has new faecal urgency and leakage after loose stools for two months. She has lost weight and sees blood mixed with stool. Rectal examination shows no impaction. Current medicines include no regular medicines. What is the most appropriate assessment?

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Correct answer: A — Urgent colorectal assessment

Weight loss and rectal bleeding with new bowel habit change are red flags requiring urgent colorectal assessment. Symptomatic treatment alone, dementia attribution, exercises without investigation and reassurance would delay exclusion of serious pathology. New faecal incontinence should not be assumed benign in older adults.

Reference: NICE suspected cancer guidance; NICE CG49