What I Recommend
If a patient has symptoms like those listed on the previous page I would strongly
recommend assessment by a specialist.
Initial Consultation
At this visit a detailed history of the presenting symptoms would be
taken in conjunction with questions about a patients` other general
medical health.
► A physical examination would be performed including, if appropriate, an
examination of the rectum and anus.
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When attending for such an examination a patient may wish to bring a
friend or family member. A chaperone (usually a nurse) would be in
attendance at all times during the examination.
The Next Step
►
From the initial history and examination I would then advise on what
further tests might be necessary to make a diagnosis.
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These might include blood tests, X-rays, scans, endoscopy or a
combination of investigations depending on the suspected diagnosis.
What is Endoscopy?
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This is a detailed special examination of the intestine using a flexible fibreoptic telescope to inspect the lining of the bowel for evidence of
disease.
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The examination is either a Flexible Sigmoidoscopy or a Colonoscopy. The
difference between the two is in relation to how much of the bowel needs
to be examined.
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The decision as to which endoscopy to recommend depends on an individual
patient and their pattern of symptoms.
►
These endoscopy investigations are done as a day case procedure with the
results immediately available for discussion with the patient.
►
If I recommend an endoscopy then I will arrange with the patient a
convenient date for me to perform the examination. |