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67 year old-chap normally fit and healthy presents with 2 week history of constipation - very definite change of bowel habit. Would you refer on a 14-day wait? Bowels usually completely normal. NO co-codamol or anything like that. Soft faeces sitting in rcetum - abdominal examination normal The reason I ask is that my usual course of action would be to refer. The centre that I normally refer to accepts just a letter and a 14-day request sheet. The place that he wishes to go to has the rigid proforma that they stick to - change of bowel habit persisting over 6 weeks. Am I wrong referring this chap as a 14 day wait as until proven otherwise I would like to exclude neoplasia. Should I be sending these patients away with a laxative and just review in 6 weeks??? -- Best Wishes Paul Bromley www.informatiks.com Custom EMIS LV Software. vuE | GPLabels | GPDocs | eGFRChecker