28th September 2020

A 20-year-old male presents to his GP with painful defaecation for the past 5 weeks

A 20-year-old male presents to his GP with painful defaecation for the past 5 weeks. He also describes fresh red blood after opening his bowels that is also present on wiping. He declines a digital rectal examination due to the excruciating pain. He has tried increasing his fluid and fibre intake following a previous telephone consultation but has not seen any improvement.

Which of the following is an appropriate management option?

Select the SINGLE most appropriate option from the list below. Select ONE option only.