Rectal+bleeding+evaluation

Rectal bleeding evaluation

 * **Symptom reported by patient** || **Recommended procedure** || **Future screening protocol** ||
 * Bright red rectal bleeding on tissue, in bowl, or on stool || **Age 50 and up**:
 * Colonoscopy or flexible sigmoidoscopy with double-contrast barium enema
 * Age 40-50**:
 * If obvious anorectal disease and no risk factors: flexible sigmoidoscopy.
 * Otherwise: colonoscopy or flexible sigmoidoscopy with double contrast barium enema
 * Below age 40**:
 * If obvious anal source and no risk factors: treat symptomatically
 * If recurrent symptoms, then flexible sigmoidoscopy
 * Further testing if clinically indicated || Reassess risk status based upon results of colonic exam and follow appropriate future screening protocol ||
 * Burgundy blood marbled into stool || Colonoscopy || Reassess risk status based upon results of colonic exam and follow appropriate future screening protocol ||