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Rectal bleeding: prevalence and consultation behaviour

A Crosland¹, R Jones

¹Department of Primary Health Care, University of Newcastle upon Tyne.

BMJ (Clinical Research Ed.)

|August 19, 1995

Summary

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Rectal bleeding is common, but few patients seek medical advice. Perceiving symptoms as serious is the key factor influencing whether individuals consult a doctor for rectal bleeding.

Area of Science:

Gastroenterology
General Practice
Public Health

Background:

Rectal bleeding is a common symptom with varying underlying causes.
Understanding patient consultation behavior is crucial for effective primary care management.

Purpose of the Study:

To determine the prevalence of rectal bleeding in the community.
To identify factors influencing general practitioner (GP) consultation for rectal bleeding.

Main Methods:

A questionnaire survey of 2000 adult patients was conducted.
Semistructured interviews were performed with matched groups of patients who consulted and did not consult a GP for rectal bleeding.

Main Results:

The prevalence of lifetime rectal bleeding was 14.35% (287/2000), with 11.55% (231/2000) experiencing it in the past 12 months.

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Only 41% of individuals with rectal bleeding sought medical advice.

Factors associated with consultation included older age (>60 years), blood mixed with stools, and a perception of symptom seriousness.

Conclusions:

Rectal bleeding is a prevalent symptom, yet a minority of patients consult healthcare professionals.
Perception of symptom seriousness is the most significant determinant for seeking medical advice for rectal bleeding.