Print This Page     Close Window Consult Request Guidelines for Rectal Bleeding     Rectal bleeding in pt < 40 with straining or hard stools Suggested Pre-Referral Evaluation and Management Guidelines 1) Careful anal exam for fissures / hemorrhoids 2) CBC 3) Fiber supplementation Suggested Additional Test/Management Prior to Specialty Visit Flexible sigmoidoscopy Patient Education/Information (includes preps) Hemorrhoids Appointment Timeframe 1 month How to Get Results to Consultant UMHS Patients: See CareWeb External Patients: Hand carry non-UM records and MRI films to visit Clinic Contact Information Physicians: 800-962-3555 Patients: 734-647-5944 Clinic Location Sites GI Clinic Locations UM Consulting Physician GI Faculty Revised on: 01/27/2011