Rectal bleeding

Abstract

Haematochezia, also known as bleeding per rectum (PR) is defined as the passage of bright blood from the rectum. PR bleeding is a common symptom experienced by many individuals and can be alarming. Despite this many people may be reluctant to see their GP. Most patients who present with rectal bleeding can be managed within primary care and will not require admission to hospital or invasive investigations. This article will focus on the common causes of PR bleeding, how to investigate and manage this symptom and provide guidance for when to refer to secondary care.