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consider if  >6/12 abdo pain / bloating / change in bowel habit

diagnose if pain relieved by defecation or associated with change in habit (frequency or form) plus 2 of
altered passage - straining, urgency, incomplete evacuation
bloating (F>M) distension, tension, hardness
Sx worse with eating
mucous

may also get - lethargy, nausea, backache, bladder Sx

red flags
rectal bleeding
unexplained weight loss
FH bowel or ovarian ca
onset >60yr

Primary care Ix
FBC
CRP/ESR
Coeliac antibodies (tissue transglutaminase)