This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages without signing in


Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

In low risk patients with rectal bleeding who are not overly anxious, it is reasonable to manage symptomatically; minimally symptomatic hemorrhoids may be safely observed (1).

Patients with symptomatic haemorrhoids should be given advice about topical treatment, oral fluid intake, high fiber diet and fiber supplementation.

An acute anal fissure, which creates a tear in the skin of the anal canal, may be treated with dietary advice and bulking agent.

Management of a lower GI bleed requires initial resuscitation and diagnosis of the underlying condition.


  1. Royal College of Surgeons (2013). Commissioning guide: Rectal bleeding. Available at (Accessed on 01/2023)

Related pages

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.