Gastroenterology - Patient assessment with Ian Allwood - Part 2

Richard and Emma welcome back Dr Ian Allwood who is a GPwSI in gastroenterology.  We would highly recommend listening to episode one where Ian discus's his process to assess abdominal pain.

Dr Ian Allwood discus's gastroenterology patient presentations which include perinate history taken, appropriate examination and investigations.  The cases include :-
Change in bowel habit,
Nausea / vomiting
and rectal bleeding. 

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Always great to here comments about the episodes.  Our guests give up their time to record these episodes so please feel free to leave feedback on the episode.

As always special thanks to Martin and Scott for your assistance.

Primary Care Society for Gastroenterology
PCSG – The Primary Care Society for Gastroenterology

Ingest podcast - from the PCSG
Ingest Podcasts – PCSG

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

College of Paramedics
Primary and Urgent Care (collegeofparamedics.co.uk)

Rome Criteria
Rome IV Diagnostic Criteria for Irritable Bowel Syndrome (IBS) - MDCalc

NICE DG30 for Quantitative Faecal Immunochemical Test
Overview | Quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary care | Guidance | NICE

NG12 Guideline for suspecting cancer
Recommendations organised by site of cancer | Suspected cancer: recognition and referral | Guidance | NICE


Offer testing with quantitative faecal immunochemical tests
NICE diagnostics guidance on quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary care

Recommends to assess for colorectal cancer in adults without rectal bleeding who:

• are aged 50 and over with unexplained:
  • abdominal pain or
  • weight loss, or
• are aged under 60 with:
  • changes in their bowel habit or
  • iron-deficiency anaemia, or
• are aged 60 and over and have anaemia even in the absence of iron deficiency.

Joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG)
Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG) | Gut (bmj.com)

Patient advice for FIT
fit_symptomatic_patient_leaflet_feb2022.pdf (cancerresearchuk.org)