CONSULT REQUEST GUIDELINES                                                                         Print


Suggested Pre-Referral Evaluation and Management Guidelines Referral is indicated when, despite conservative measures, the patient has persistent and bothersome pain or bleeding from hemorrhoids.
Conservative measures:
Optimal bowel regimen to promote evacuation of soft, formed stools which may consist of high fiber diet, fiber supplements, stool softeners, and laxatives as needed
Use of topical agents to alleviate discomfort
Behavioral changes (e.g. avoiding long intervals on the commode)

We recommend that patients follow a high fiber diet for at least 6 weeks prior to being referred.

Suggested Additional Test/Management Prior to Specialty Visit Colonoscopy is recommended for patients over the age of 50 years who have not been screened previously. Need not be done prior to the clinic visit.
Patient Education/Information (includes preps)
Appointment Timeframe 4-8 weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients:
Reports, medical records, CDs, and pathology slides can be mailed to:
Division of Colorectal Surgery
Attention: Jain Carver
2124 Taubman
1500 East Medical Center Drive, SPC 5343
Ann Arbor, MI 48109-5343
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-615-7565
Clinic Location Sites Colorectal Surgery Clinic
UM Consulting Physician Colorectal Surgery Physicians
Revised on: 04/21/2015



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