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Consult Request Guidelines
for Rectal Bleeding

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Rectal bleeding with straining or hard stools in patients younger than 40 years
Suggested Pre-Referral Evaluation and Management Guidelines
1) Careful anal exam for fissures / hemorrhoids
2) Blood survey, complete blood count (CBC)
3) Fiber supplementation
Suggested Additional Test/Management Prior to Specialty Visit Flexible sigmoidoscopy Direct Access Endoscopy Referral form
Patient Education/Information (includes preps) Hemorrhoids
Appointment Timeframe 1 month
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records and Xray films to visit

Outpatient Consult Request Form
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-647-5944 or 800-229-7408
Clinic Location Sites GI Clinic Locations
UM Consulting Physician GI Faculty

Suzanne Taylor, RN - UMHS Patient Liaison will answer provider questions.
Revised on: 05/25/2017

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