Acute Β· Symptom framework

Abdominal Pain

NICE CKS NG12 (2WW)
AP
Abdominal Pain Β· Clinical Reasoning Framework v2
GP & SCA Β· NICE NG12 / NG151 / CG86 / CKS 2023
>50%Abdominal pain in 1Β° care has no organic cause
2WWAge β‰₯40 + unexplained wt loss + abdominal symptoms β†’ refer
β‰₯60 yrsChange in bowel habit β‰₯6 weeks β†’ 2WW colorectal referral
Hb <110g/L (women) + GI symptoms = 2WW iron deficiency referral
Alvarado β‰₯7Appendicitis risk score β€” refer for surgical assessment
Rome IVIBS criteria: β‰₯1 day/wk pain Γ— 3 months + β‰₯2 bowel features
CRP <10mg/L supports functional cause; raised CRP β†’ investigate organic
1 in 15Lifetime colorectal cancer risk in UK (men); 1 in 18 (women)
πŸ“‹ Clinical Stem β€” Recurrent Abdominal Pain Β· New Problem Appointment
A patient presents with several months of intermittent abdominal pain, requiring systematic assessment to differentiate functional from organic pathology and address the hidden agenda.
"Mrs D, a 42-year-old secondary school teacher, books a new problem appointment. She describes four months of intermittent crampy lower abdominal pain, occurring two to three times per week, often after meals, and associated with bloating and an erratic bowel habit β€” sometimes loose, sometimes constipated. She has not noticed any rectal bleeding or weight loss. She mentions, almost as an aside, that her mother was diagnosed with bowel cancer eight months ago and she is 'probably just being silly' by coming in."
This stem represents one of the most common presentations in UK primary care. The diagnostic challenge is distinguishing IBS and functional causes (over 50% of cases) from early IBD, colorectal malignancy, gynaecological pathology, biliary disease, or surgical causes. The hidden agenda β€” cancer fear following a family member's diagnosis β€” is clinically critical and almost always present even when the patient minimises it.
Scenario A β€” IBS / Functional Pain Classic Rome IV criteria met: crampy lower abdominal pain, altered bowel habit, bloating, worse with stress, no red flags, normal examination. Management: reassurance + lifestyle + antispasmodics.
Scenario B β€” Suspected IBD First Presentation Younger patient, bloody diarrhoea, weight loss, urgency, nocturnal symptoms, elevated CRP and faecal calprotectin. Requires urgent gastroenterology referral.
Scenario C β€” Biliary Colic Right upper quadrant pain radiating to right shoulder tip, 2–4 hours post fatty meal, nausea and vomiting, resolves spontaneously. USS required; elective surgical referral if gallstones confirmed.
Scenario D β€” Colorectal Cancer Concern Age 62, six-week change in bowel habit to looser stools, mild rectal bleeding on paper, no weight loss. 2WW referral criteria met under NICE NG12.
Scenario E β€” Acute Surgical Abdomen Sudden onset severe right iliac fossa pain, rebound tenderness, guarding, fever, Alvarado β‰₯7. Same-day surgical assessment required; do not prescribe analgesia and discharge.
Key variables to adapt for Age and sex; site and character of pain; duration and pattern; bowel habit change; rectal bleeding; weight loss; family history; red flags; prior GI investigations; reproductive status in women; recent antibiotics or foreign travel.
Steps:
1
Step 1
History Taking β€” Open Question First Β· Targeted Questions Β· ICE Β· Psychosocial Context
β–²collapse
Abdominal pain is a symptom, not a diagnosis. The history is the single most powerful diagnostic tool β€” 80% of abdominal diagnoses can be made from history alone. Your job is to characterise the pain using SOCRATES, identify associated symptoms that point to the system involved, screen for red flags, and β€” critically β€” uncover the hidden agenda. A patient who mentions a family cancer diagnosis "almost as an aside" has given you the most clinically important piece of information in the consultation.
πŸŽ“ Consultation opener β€” use existing information first
"Mrs D, I can see from the notes you've been having some tummy pain for a few months β€” I'd really like to hear more about what's been going on from your point of view. Can you tell me in your own words what you've been experiencing?"
Using the notes before asking avoids making the patient repeat themselves, signals respect for their time, and scores the Global Skills mark for using available data. Asking "What brings you in today?" when the notes already state 'abdominal pain Γ— 4 months' wastes consultation time and loses a mark.
1A β€” Start with an open question: let the patient lead, then move to targeted questions
Question to askWhy it matters clinicallyChanges what?
🟒 OPEN QUESTION β€” always start here"Tell me more about this pain β€” can you describe it in your own words?" Allows the patient to volunteer unprompted features (blood in stool, weight loss, cancer fear) that closed questioning may miss. An open start scores the Global Skills opening-style mark and demonstrates patient-centred data gathering.SCA: failing to open broadly loses the patient-centred approach mark in Global Skills from the very first minute. DDxPsychosocial
Site β€” where exactly is the pain? Does it move?"Can you point to where it hurts most? Does it spread anywhere?" Site is the most discriminating single feature: epigastric (peptic/pancreatic), RUQ (biliary/hepatic), RIF (appendicitis/ovarian/Crohn's), LIF (diverticular/ovarian/sigmoid), central (IBS/SBO), generalised (peritonism). Radiation to right shoulder = biliary; to back = pancreatitis or AAA; to groin = renal colic.Always ask about radiation β€” it often reveals the organ of origin more clearly than the site of maximum pain alone. DDxTriage
Onset β€” when did it start and how?"Did it come on suddenly or gradually? What were you doing?" Sudden onset of severe pain is a surgical emergency until proven otherwise β€” ruptured AAA, perforated viscus, ruptured ectopic, mesenteric ischaemia. Gradual onset over months = chronic organic or functional. Post-prandial onset 30 min = peptic/biliary; 1–2 hours after eating = mesenteric angina in older patients.A patient who says "I was fine, then suddenly doubled over" needs same-day assessment regardless of current state. 999Triage
Character β€” what does the pain feel like?"Crampy, sharp, burning, dull? Does it come in waves?" Colicky/crampy waves = hollow viscus (bowel, biliary, ureteric). Constant burning/gnawing = peptic/GORD. Sharp stabbing = peritoneal irritation. Dull aching = solid organ. Burning worse after eating = GORD or gastritis. Crampy relieved by defaecation = IBS (Rome IV criterion).The character and relationship to defaecation are the two single most useful IBS discriminators β€” both are Rome IV diagnostic criteria. DDxManagement
Timing β€” when does it happen? How long does it last?"Does it happen at a particular time of day? After eating? How long does each episode last?" Post-prandial colicky pain lasting 2–4 hours then resolving = biliary colic. Nocturnal pain waking from sleep = organic (IBS is almost never nocturnal β€” nocturnal symptoms are a red flag for IBD). Pain related to menstrual cycle = endometriosis or mittleschmerz. Chronic intermittent = IBS or functional.Pain that wakes the patient at night is a significant feature that should increase suspicion of organic pathology and reduces the probability of a functional diagnosis. DDxInvestigations
Exacerbating and relieving factors"What makes it worse or better? Does eating change it?" Relieved by defaecation = IBS (Rome IV). Worse with fatty food = biliary. Relieved by food then worse 1–2 hours = duodenal ulcer. Worse with movement = peritoneal. Worse with stress = IBS. Antacids relieving pain = GORD/peptic β€” document immediately as it changes prescribing.Always ask about antacid response β€” this single question determines whether a PPI trial is appropriate before OGD referral in under-55s with no red flags. DDxManagement
Associated bowel symptoms"Has your bowel habit changed? Any blood or mucus in stools?" Change in bowel habit is a 2WW red flag in patients β‰₯60. Bloody diarrhoea + urgency = IBD. Mucus without bleeding = IBS. Pale, offensive, floating = malabsorption (coeliac). Ask specifically β€” patients do not always volunteer rectal bleeding without a direct question.Never accept "no change" at face value if the pain is new β€” ask directly: "Have you noticed any blood in the toilet, or on the tissue paper?" Red flagReferral
Weight, appetite, and fatigue"Any unintentional weight loss? Change in appetite? Unusual tiredness?" Unintentional weight loss + abdominal pain age β‰₯40 = NICE NG12 2WW criterion for upper GI cancer. Weight loss + diarrhoea + fatigue = coeliac or IBD. Profound fatigue + pallor = iron-deficiency anaemia from GI blood loss. Always quantify weight loss in kilograms over how many weeks.Always document weight loss quantitatively for medico-legal safety-netting and to support any 2WW referral documentation. Red flagReferral
Nausea, vomiting, dysphagia"Any sickness or vomiting? Any difficulty swallowing?" Persistent vomiting = NICE red flag for upper GI cancer referral. Dysphagia at any age = 2WW upper GI referral regardless of how the patient presents. Vomiting with colicky pain = obstruction or biliary/ureteric colic. Heartburn + epigastric pain = GORD/peptic β€” document clearly.NICE NG12: dysphagia at any age warrants 2WW upper GI cancer referral β€” do not wait for additional symptoms to accumulate. Red flagReferral
Urinary and gynaecological symptoms"Any burning on passing urine? Any gynaecological symptoms? Could you be pregnant?" UTI/pyelonephritis can present as lower abdominal pain, especially in women. Ureteric colic (loin-to-groin radiation + haematuria) is an important differential. Ectopic pregnancy (lower abdominal pain + missed period) is immediately life-threatening. Endometriosis = cyclical pain + deep dyspareunia. A pregnancy test is mandatory in any reproductive-age woman with lower abdominal pain.Any woman of reproductive age with acute lower abdominal pain must have a pregnancy test before other investigations β€” never assume the pain is non-gynaecological without direct questioning. 999DDxInvestigations
Fever, night sweats, recent travel, antibiotics"Any temperatures? Recent travel abroad? Any recent antibiotics?" Fever + abdominal pain = infective or inflammatory cause. Recent travel = tropical infection (amoebic colitis, Giardia). Recent antibiotics = C. difficile colitis (suspect in any patient with antibiotics within 8 weeks presenting with new diarrhoea and lower abdominal pain). Night sweats + lymphadenopathy = lymphoma.C. difficile testing should be reflexly requested in any patient with diarrhoea within 8 weeks of antibiotic exposure. DDxInvestigations
1B β€” Red flags: must not miss Β· must ask Β· must act
🚨

Red Flags β€” act before continuing if any of these are present

Red flagWhy dangerousAction
Rigid abdomen, rebound tenderness, guarding, or patient lying absolutely stillSigns of peritoneal irritation indicate a surgical emergency: perforated viscus, ruptured ectopic, mesenteric ischaemia. Time-critical β€” mortality rises sharply with delay to theatre.999 now
Sudden-onset "worst ever" abdominal pain or pulsatile mid-abdominal massRuptured or leaking AAA β€” classic triad: tearing/ripping pain, pulsatile mass, haemodynamic instability. Mortality without immediate surgery approaches 90%. Do not delay to investigate.999 now
Lower abdominal pain + amenorrhoea Β± positive pregnancy test in a womanEctopic pregnancy until proven otherwise. Rupture causes catastrophic intra-abdominal haemorrhage. Even haemodynamically stable patients with suspected ectopic require immediate emergency gynaecology assessment.999 now
Unintentional weight loss with new abdominal symptoms, age β‰₯40NICE NG12 criterion for 2WW colorectal, upper GI, and pancreatic cancer referral when combined with abdominal symptoms. Cancer pick-up rate on investigation is clinically significant at 5–10%.2WW referral
Rectal bleeding, especially dark blood mixed with stoolNICE NG12: rectal bleeding + change in bowel habit age β‰₯40 = 2WW. Dark blood mixed with stool is more sinister than bright blood on paper. Never attribute rectal bleeding to haemorrhoids without examination in patients β‰₯50.2WW referral
Change in bowel habit β‰₯6 weeks in patients β‰₯60, especially to looser stoolsStrong independent predictor of colorectal cancer in this age group. Looser stools are more concerning β€” they suggest left-sided or rectal cancer. Colorectal cancer incidence peaks in the seventh and eighth decade.2WW referral
Iron-deficiency anaemia: Hb <110 g/L (women) or <130 g/L (men) with GI symptomsImplies occult blood loss β€” the hallmark of early GI malignancy. Absence of overt rectal bleeding does not exclude colonic cancer. NICE NG12 2WW criterion.2WW referral
Dysphagia at any ageNICE NG12: dysphagia warrants 2WW upper GI cancer referral regardless of age or other features. Even if abdominal pain seems clearly functional, dysphagia overrides and requires urgent endoscopy.2WW referral
πŸ›‘οΈ

Safeguarding Considerations β€” Consider in Every Consultation

Abdominal pain can be a marker of physical abuse, sexual abuse, or domestic violence. Recurrent lower abdominal or pelvic pain in women β€” particularly when poorly explained or accompanied by psychosocial stressors β€” may represent injuries, forced sexual activity, or somatic expression of domestic abuse. Abdominal pain in a child may indicate physical harm or hidden exploitation.
🏠 Domestic Abuse / Intimate Partner Violence
  • Recurrent unexplained abdominal pain β€” particularly perineal or lower abdominal β€” in a woman of any age
  • Pain inconsistent with the described mechanism or examination findings
  • Partner who accompanies and answers questions on the patient's behalf
  • Withdrawal of consent to share records, or reluctance to discuss symptoms in private
  • History of multiple attendances with unexplained bruising or injuries
πŸ‘΄ Older Adults / Carer-Related Concern
  • Unexplained abdominal pain in a patient dependent on a carer for personal care
  • Inconsistent history between patient and carer, or a carer who is unusually controlling
  • Evidence of neglect: unintentional weight loss, poor hygiene, dehydration alongside the pain
  • Patient appears fearful of the carer or makes eye contact with them before answering questions
πŸ§’ Children in the Household
  • A child with recurrent abdominal pain without clear organic cause β€” consider emotional abuse, bullying, or adverse family environment
  • Assess whether children in the household are at risk if the adult is a victim of domestic violence
  • Consider fabricated or induced illness if a parent presents repeatedly with a child's unexplained symptoms
  • School-aged children with recurrent pain: safeguarding, school non-attendance, and psychosocial causes should always be explored
πŸ’Š Self-Harm / Medication Misuse
  • Abdominal pain following possible paracetamol or NSAID overdose β€” even if denied; paracetamol toxicity presents with RUQ pain 24–72 hours after ingestion
  • Unexplained abdominal pain in a patient with known mental health disorder or previous self-harm history
  • Laxative abuse causing crampy abdominal pain in eating disorder context
  • Signs of substance misuse: track marks, small pupils, unexplained episodes of confusion alongside abdominal pain
If a safeguarding concern is identified: Always see the patient alone for part of the consultation. Use the HARK tool for domestic abuse screening. Document concerns objectively. Discuss with safeguarding lead or named GP. For adults at risk or children, follow local authority safeguarding procedures. You do not need patient consent to refer to safeguarding services if there is an immediate risk of serious harm.
1C β€” PMH Β· FH Β· Drug history Β· Social history: management impact
🧬 PMH / FH β€” changes management
FactorWhy it mattersManagement impact
Previous GI malignancy or FH <50Markedly increases pre-test probability of colorectal cancer2WW even with borderline symptoms; earlier colonoscopic surveillance
IBD (known Crohn's / UC)New/changed pain may represent flare, complication (stricture, fistula), or malignant transformation in long-standing colitisUrgent gastroenterology review; faecal calprotectin; colonoscopy if colitis duration >8 years
Coeliac diseaseUntreated coeliac masquerades as IBS for years; associated with iron, folate, B12 and vitamin D deficiencyAnti-TTG IgA; refer gastroenterology; dietitian; DEXA scan at diagnosis
Peptic ulcer / previous H. pyloriIncreased risk of recurrence, especially with NSAID use or incomplete eradicationStool antigen test; OGD if persistent symptoms; avoid NSAIDs
Ovarian cysts, endometriosis, or PID (women)Recurrent pelvic pain with prior gynaecological pathology may represent progression or new complicationPelvic USS; gynaecology referral if recurrent or new features
Previous abdominal surgeryAdhesional pain and small bowel obstruction significantly more common post-laparotomy β€” can develop years laterLower threshold for urgent surgical review; CT abdomen if SBO suspected
Atrial fibrillation / significant cardiovascular disease (elderly)Mesenteric ischaemia is underdiagnosed and carries very high mortality; post-prandial pain in older patients with AFSame-day assessment; CT mesenteric angiography if chronic mesenteric ischaemia suspected
Diabetes mellitusDiabetic gastroparesis causes upper abdominal pain, bloating, nausea, early satiety; higher rates of gallstonesGastric emptying study; dietary modification; USS for gallstones; consider metoclopramide
πŸ’Š Drug history Β· Social history β€” clinical impact
FactorWhy it mattersManagement impact
NSAIDs (including OTC ibuprofen)Cause gastric and duodenal ulceration, erosions, GORD; reactivate H. pylori diseaseStop or substitute; add PPI if continuation unavoidable; test for H. pylori
Corticosteroids (long-term oral)Mask peritonism signs; cause peptic ulceration; increase bowel perforation risk in IBDLower threshold for investigation; co-prescribe PPI; review steroid need
Antibiotics (within 8 weeks)Disrupt gut microbiome; can precipitate C. difficile colitis or antibiotic-associated diarrhoeaStool sample for C. difficile toxin; avoid repeat antibiotics; consider probiotic
Opioid analgesicsOpioid-induced constipation and bowel dysfunction are major causes of abdominal pain in chronic pain patientsProphylactic laxative; consider naloxegol or methylnaltrexone; reduce opioids where possible
Alcohol use (AUDIT-C score)Causes acute and chronic pancreatitis, alcoholic liver disease, gastritis; worsens IBS and GORDAdvice on safe limits; LFTs and amylase; USS abdomen; consider gastroenterology if chronic liver disease
Diet β€” processed food, fibre, dairy, glutenLow dietary fibre drives constipation-type IBS; lactose intolerance causes crampy pain and diarrhoea; gluten sensitivity increasingly recognisedDietary history and dietitian referral; low-FODMAP trial; lactose elimination trial; soluble fibre
Occupation and employment statusOccupational stress is a major driver of functional GI disorders; irregular meal times (shift workers) worsen motilityStress management; regular meal times; NHS Talking Therapies self-referral for comorbid anxiety
SmokingDoubles risk of Crohn's disease and worsens activity; paradoxically protects against UC; causes peptic ulcerationSmoking cessation support; if Crohn's suspected, cessation improves biological therapy response
1D β€” ICE: Ideas Β· Concerns Β· Expectations β€” in every consultation, not just SCA
πŸ’‘ Why ICE matters in Abdominal Pain β€” not a tick-box exercise

In abdominal pain, the patient's concerns almost always include a fear that has not been named: cancer, IBD, or "something serious." Research shows that unexplored ICE leads to unresolved concerns, poor adherence, and repeated re-consultation. In the SCA, failing to name the specific fear explicitly β€” "I'm wondering if you're worried this could be anything like what your mum had" β€” scores zero in Relating to Others for that domain item. The expectation β€” most commonly "just reassurance" or "a scan" β€” must be validated before it can be appropriately managed.

πŸ’­ Ideas
"I wonder what you've been thinking might be causing this pain β€” have you had any thoughts yourself about what it could be?"
Many patients have already privately decided what is wrong. Uncovering this (often cancer, IBD, or "something I ate") allows you to correct misconceptions and frame your investigation plan around what you are looking for and ruling out.
😟 Concerns
"Is there anything in particular that's been worrying you β€” anything you were hoping we could rule out today?"
In this case, the cancer fear must be named explicitly: "I'm wondering if you might be worried about bowel cancer given what happened with your mum." This direct acknowledgement is enormously therapeutic and directly scores in Relating to Others.
🎯 Expectations
"What were you hoping we might be able to do for you today β€” was there something specific you were looking for from this appointment?"
Common expectations: a colonoscopy, a scan, blood tests, or "just reassurance." Validate before managing. If the patient wants a colonoscopy but does not meet 2WW criteria, explain the evidence base and offer what you can (calprotectin, FBC, CRP) as a meaningful alternative.
1E β€” Psychosocial context: the person behind the abdominal pain
πŸ«‚ How psychosocial factors cause and perpetuate abdominal pain β€” the brain-gut axis

The enteric nervous system contains over 100 million neurones and is bidirectionally connected to the central nervous system via the vagus nerve and the HPA axis. Psychological stress, anxiety, and unresolved trauma directly alter gut motility, visceral sensitivity, and mucosal barrier function. This is not "all in the mind" β€” it is measurable physiology. Understanding these upstream contributors allows you to offer treatment that addresses cause, not just symptom.

πŸ’Ό Occupational Stress & Job Insecurity

Chronic workplace stress activates the HPA axis and suppresses the parasympathetic "rest-and-digest" state. This directly impairs gastric emptying, alters colonic transit, and lowers the visceral pain threshold β€” producing IBS-like symptoms even without structural disease.

"How are things at work at the moment? Have you been under any particular pressure?"

If identified: NHS Talking Therapies self-referral, stress management, review of workplace adjustments alongside any pharmacotherapy.

🍽️ Dietary Habits & Eating Patterns

Irregular meal times, rapid eating, high-fat diet, and excessive caffeine are direct mechanical and chemical triggers for abdominal pain. Low dietary fibre is the modifiable cause of constipation-predominant IBS in the majority of cases. The low-FODMAP diet has RCT-level evidence for IBS symptom reduction.

"Can you walk me through a typical day's eating β€” when you eat, what you eat, and whether meals are regular?"

If identified: specific dietary advice before prescribing antispasmodics; dietitian referral is highly cost-effective for IBS.

🧠 Anxiety, Health Anxiety & Somatisation

Generalised anxiety disorder and health anxiety are extremely common drivers of abdominal pain. Anxiety directly increases visceral hypersensitivity by lowering pain perception thresholds. Health anxiety causes chronic symptom monitoring that amplifies normal gut sensations into perceived pain.

"Sometimes when we're feeling anxious or worried, it can affect how our bodies feel β€” have you noticed any connection between stress and when the pain comes on?"

If identified: NHS Talking Therapies referral for CBT-based health anxiety treatment. Gut-directed hypnotherapy is NICE-recommended for IBS.

πŸ˜” Depression & Chronic Adversity

Depression and abdominal pain have a bidirectional relationship. Serotonin β€” 95% of which is produced in the gut β€” regulates both mood and gut motility, explaining why antidepressants improve IBS as well as mood. Patients with depression have lower pain tolerance and are more likely to catastrophise about symptoms.

"Sometimes when we're feeling low or down it can affect how our bodies cope with pain β€” how have you been feeling in yourself more generally?"

If identified: treat depression as part of abdominal pain management, not separately. Low-dose amitriptyline treats both visceral hypersensitivity and low mood in functional bowel disorder.

🀯 Adverse Childhood Experiences (ACEs)

Robust epidemiological evidence links ACEs β€” physical, sexual, or emotional abuse, neglect, or household dysfunction in childhood β€” with functional GI disorders in adulthood. Up to 40% of patients with IBS report significant ACEs. Mediated through HPA axis epigenetic changes, altered microbiome, and central pain sensitisation.

"Sometimes difficult experiences earlier in life can affect how our bodies respond to stress. Have you been through anything particularly difficult in your past?"

If disclosed: trauma-informed approach; trauma-focused CBT or EMDR may be more effective than any bowel-directed treatment.

πŸ’‘ Relationship Stress & Social Isolation

Relationship conflict, bereavement, or social isolation are potent activators of the stress-pain axis. Abdominal pain and IBS are significantly more prevalent in patients reporting low social support. Social isolation amplifies symptom awareness and reduces coping resilience.

"How are things at home at the moment β€” do you feel like you have good support around you?"

If identified: social prescribing, community resources, or voluntary sector support may be more beneficial than medication for functional abdominal pain.

πŸŽ“ SCA Checkpoint β€” Step 1TasksRelating to OthersGlobal Skills
Key phrases that score
"I can see from the notes this has been going on for a few months β€” tell me more about what's been happening from your point of view."
"I'm wondering β€” given what happened with your mum β€” whether there's part of you that's been worrying this could be something serious, like bowel cancer."
"Have you noticed any blood in your stools at all, or any unintentional weight loss β€” even just a few pounds?"
"Sometimes stress or anxiety can really affect how the gut behaves β€” how have things been on that front?"
Deductions (examiner flags)
  • Asking "What brings you in today?" when the case card already states abdominal pain β€” wastes time, loses Global Skills mark
  • Failing to name the cancer fear explicitly β€” the most common communication failure in this case type
  • Moving straight to targeted questions without an open question first
  • Not asking about rectal bleeding or weight loss in a patient with new abdominal pain
  • Completing data gathering after 8+ minutes β€” insufficient time for management
  • Not screening for urinary or gynaecological symptoms in a woman with lower abdominal pain
πŸ”΄ Red β€” failing
No open question. Red flags not screened. Cancer fear not acknowledged. ICE absent. Data gathering unfinished at 8+ minutes.
🟠 Amber β€” borderline
Open question used but ICE partially explored. Red flags screened but cancer fear identified without explicitly naming it. Data gathering complete by 7 minutes but no psychosocial context explored.
🟒 Green β€” passing
Open question first. All red flags screened. Cancer fear explicitly named and empathetically acknowledged. All three ICE components named. Psychosocial context probed. Data gathering complete by minute 6.
2
Step 2
Triage Engine β€” Emergency Β· Urgent Β· Routine
β–²collapse
Triage is the first clinical decision in abdominal pain β€” and the one with the highest stakes. The spectrum runs from the immediately life-threatening (ruptured AAA, ruptured ectopic, perforated viscus) requiring 999 within seconds of recognition, to the chronic functional pain managed in primary care over weeks. Every patient with abdominal pain should pass through this triage step mentally before any investigation or management is planned. A missed surgical emergency is the most serious medicolegal outcome in GP abdominal presentations.
πŸ”΄ Emergency

999 or Same-Day Hospital

Call 999 / A&E now
  • Ruptured / leaking AAASudden tearing pain, pulsatile mass, haemodynamic instability, age β‰₯60 with vascular risk factors β€” do not examine repeatedly, call 999 immediately
  • Ruptured ectopic pregnancyLower abdominal pain + amenorrhoea Β± shoulder tip pain Β± haemodynamic instability β€” any woman of reproductive age
  • Generalised peritonismRigid abdomen, board-like guarding, rebound tenderness, patient lying absolutely still β€” perforated viscus until proven otherwise
  • Acute mesenteric ischaemiaSevere constant pain out of proportion to examination findings, elderly patient with AF or known atherosclerosis β€” mortality 60–80% without urgent intervention
  • Bowel obstruction with vascular compromiseColicky central pain, absolute constipation, vomiting, distension β€” strangulation causes constant pain and rapid deterioration
  • Acute severe pancreatitisEpigastric pain radiating to back, vomiting, haemodynamic compromise, markedly elevated amylase/lipase
🟠 Urgent

Same-Day GP / Urgent Referral

Hours to 2 weeks
  • Suspected appendicitis (Alvarado 4–6)Right iliac fossa pain, anorexia, fever, rebound tenderness in RIF β€” admit for surgical assessment; do not give analgesia and discharge
  • Acute cholecystitisRUQ pain, fever, positive Murphy's sign, elevated WCC and CRP β€” urgent surgical referral; USS same day if available
  • Acute diverticulitisLeft iliac fossa pain, fever, change in bowel habit, elevated CRP β€” CT if diagnosis uncertain; community antibiotics if mild, admit if severe
  • Severe IBD flareBloody diarrhoea β‰₯6/day, fever, tachycardia β€” Truelove and Witts criteria; hospital admission if severe; IV corticosteroids
  • NICE NG12: 2WW criteria metAge β‰₯40 + unexplained weight loss; rectal bleeding + change in bowel habit age β‰₯40; change in bowel habit β‰₯6 weeks age β‰₯60 β€” refer within 2 working days
  • Suspected ectopic (stable)Lower abdominal pain + positive pregnancy test without ultrasound evidence of intrauterine pregnancy β€” same-day EPU assessment
🟒 Routine

Manage in Primary Care

GP practice
  • IBS / functional abdominal painRome IV criteria met, no red flags, normal examination β€” lifestyle modification, dietary advice, antispasmodics, psychology if needed
  • Constipation-related painInfrequent hard stools, straining, lower abdominal discomfort β€” dietary fibre, macrogol, review medications
  • GORD / peptic ulcer pain (no red flags)Epigastric burning, post-prandial, age <55, no dysphagia, no weight loss β€” H. pylori test; PPI trial 4–8 weeks
  • Suspected biliary colic (stable)Episodic RUQ pain, no fever, no jaundice, normal examination β€” USS abdomen; elective surgical referral if gallstones confirmed
  • Stable IBD review (shared care)Known IBD, no flare features β€” gastroenterology shared-care review, FBC/CRP/albumin/vitamin D, colonoscopic surveillance schedule
  • Unexplained symptoms without red flags (age <40)Investigations first (FBC, CRP, coeliac, faecal calprotectin) β€” review in 4–6 weeks with results; consider gastroenterology if persistent
πŸŽ“ SCA Checkpoint β€” Step 2TasksGlobal Skills
Triage language that scores
"Given what you've described, I don't think this needs emergency treatment today β€” but I do want to do some tests to make sure we're not missing anything important."
"I'd like to refer you to the specialist team β€” this is a two-week wait referral, which means you should hear from the hospital within two weeks to arrange a further investigation."
"The symptoms you're describing don't suggest anything that requires hospital treatment urgently, which is reassuring β€” but I want us to do some blood and stool tests today to investigate further."
Triage deductions
  • Missing a 2WW criterion and failing to refer (age, bleeding, weight loss, bowel habit change β‰₯6 weeks)
  • Sending home a patient with peritonism or suspected ruptured ectopic without calling 999
  • Prescribing analgesia only for suspected appendicitis and booking routine follow-up
  • Failing to state the triage decision and rationale clearly to the patient
  • Saying "I'm going to put in a 2WW" without explaining what this means to the patient
πŸ”΄ Red
Red flags missed. No triage decision communicated. 2WW criteria not recognised. Emergency sent home. Urgency not conveyed.
🟠 Amber
Triage decision made but poorly communicated. 2WW recognised but timescale not explained. Urgency language vague ("I'll keep an eye on this").
🟒 Green
Correct triage category identified and explained in plain language. 2WW discussed including what it means, timescale, and what to expect. Immediate safety-netting given for deterioration.
3
Step 3
Do I Need This Examination?
β–²collapse
Abdominal examination is mandatory in any new presentation of abdominal pain. In an SCA, the examination is described β€” not performed β€” but you must offer it, and the actor may tell you the findings. The examination serves two purposes: to detect signs that raise or lower the probability of serious disease (tenderness, guarding, masses, organomegaly) and to provide medico-legal documentation that a thorough assessment was performed. A palpable abdominal mass or peritonism completely changes the management pathway regardless of the history.
ExaminationWhy it mattersWhat finding changes managementChanges management?
General appearance and vital signs (pulse, BP, RR, temperature, Oβ‚‚ saturation)Haemodynamic instability with abdominal pain = surgical emergency. Fever + tachycardia = sepsis protocol. Normal vitals provide reassurance but do NOT exclude appendicitis, ectopic, or bowel ischaemia in early stages.Temperature >38Β°C with abdominal pain requires same-day assessment regardless of the specific diagnosis.Tachycardia + hypotension β†’ 999 immediately. Fever β‰₯38Β°C β†’ same-day bloods and management for acute infective/inflammatory causeYES β€” triage critical
Abdominal inspection β€” distension, visible peristalsis, scars, skin changesDistension = obstruction, ascites, or mass. Visible peristalsis = subacute obstruction. Previous scars β†’ adhesional disease. Jaundice (hepatic/biliary). Cullen's/Grey Turner's signs = retroperitoneal haemorrhage in pancreatitis.Always inspect before palpating β€” you may see a distended, silent abdomen that tells you not to press at all.Distension + previous scar β†’ rule out adhesional SBO. Jaundice β†’ LFTs + USS + biliary referral. Ascites β†’ USS, consider malignancy or cirrhosisYES β€” always inspect
Abdominal palpation β€” all four quadrants, tenderness, guarding, rebound, masses, organomegalyMost information-rich part of the examination. McBurney's point (RIF) = appendicitis. Murphy's sign (inspiratory arrest on RUQ pressure) = cholecystitis. Rovsing's sign (referred RIF pain on LIF pressure) = appendicitis. Peritonism signs = immediate surgical assessment. Palpable mass anywhere requires imaging.Palpate gently first β€” jumping to deep palpation in the tender quadrant before the patient expects it is painful. Ask permission before each region.Palpable mass β†’ urgent CT + referral. Positive Murphy's β†’ USS cholecystitis. Guarding + rebound β†’ same-day surgical assessmentYES β€” always palpate
Auscultation β€” bowel soundsAbsent bowel sounds = ileus or late obstruction β€” surgical emergency. High-pitched tinkling = early SBO. Bruit over aorta = aortic stenosis / AAA (do NOT press firmly on a pulsatile aorta).The absence of bowel sounds in a silent abdomen with pain is an ominous sign suggesting perforation with generalised ileus.Absent bowel sounds + pain + distension β†’ 999 immediately. Tinkling sounds + distension + vomiting β†’ 999 (SBO)YES β€” key surgical sign
Hernial orifices (inguinal, femoral, umbilical)Irreducible inguinal or femoral hernia with abdominal pain = strangulation until proven otherwise. Femoral herniae are particularly dangerous in older women β€” frequently missed clinically and have a high strangulation rate.Always examine the groins when investigating abdominal pain with no prior surgical history β€” femoral hernia is the most commonly missed cause of SBO in women.Irreducible tender hernia β†’ 999 immediately. Reducible hernia β†’ elective surgical referralYES β€” easily missed
Digital rectal examination (PR) β€” when clinically indicatedIndicated for: rectal bleeding (exclude mass/polyp), change in bowel habit in older patients (palpable rectal mass), suspected appendicitis (right lateral rectal tenderness). Consent, dignity, and chaperone are mandatory.NICE NG12: a palpable rectal or abdominal mass is a criterion for 2WW colorectal referral. PR must be offered β€” if declined, document clearly.Palpable rectal mass β†’ 2WW immediately. Blood on glove + change in habit β†’ 2WW. Impacted faeces β†’ manual evacuation and laxative treatmentContext β€” when indicated
Pelvic examination (women β€” when indicated)For lower abdominal pain with suspected gynaecological cause (PID, ovarian, endometriosis, ectopic): cervical excitation test, adnexal tenderness, uterine tenderness. Positive cervical excitation + fever strongly suggests PID.Cervical excitation is the clinical hallmark of PID β€” prompts same-day treatment with IM ceftriaxone + oral doxycycline + metronidazole per BASHH 2019 guidelines.Cervical excitation + fever β†’ PID; treat empirically same day. Adnexal mass β†’ USS urgently. Positive pregnancy test β†’ ectopic until proven otherwiseContext β€” women with pelvic pain
Weight (BMI) and nutritional assessmentUnintentional weight loss >5% in 3–6 months is a red flag requiring investigation and often 2WW referral. Weight is also a baseline for monitoring treatment response in IBD and functional disorders.Weigh the patient at every consultation if weight loss is a concern β€” subjective patient estimates are notoriously inaccurate.Documented weight loss >5% β†’ 2WW criteria; malignancy workup. BMI <17 β†’ eating disorder pathway + medical monitoringYES β€” document weight
πŸŽ“ SCA Checkpoint β€” Step 3TasksGlobal Skills
Examination offer phrases
"I'd like to examine your tummy β€” would you be comfortable lying back for me? I'll let you know what I'm doing as I go."
"I'm going to feel your tummy gently first, then more firmly β€” please tell me if anything hurts."
"I'd also like to weigh you today so we have a baseline to compare at your next appointment."
"Given your symptoms, I'd like to check your back passage β€” I'll need a chaperone for that. Is that alright?"
Examination deductions
  • Not offering abdominal examination at all in a new presentation of abdominal pain
  • Failing to mention vital signs (particularly temperature in an acute presentation)
  • Not mentioning a chaperone when offering intimate examinations (PR, pelvic)
  • Missing the hernial orifice check in a patient with groin pain and abdominal distension
  • Failing to record weight as a baseline when weight loss is part of the complaint
  • Pressing deeply without warning the patient first and asking permission
πŸ”΄ Red
No examination offered. Vital signs not mentioned. PR/pelvic not considered when clinically indicated. Urgent signs missed or not acted upon.
🟠 Amber
Examination offered but incomplete (herniae not mentioned, weight not taken). Findings noted but management not clearly changed by them.
🟒 Green
Full relevant examination offered and findings integrated into clinical reasoning. Positive signs acted on immediately. Chaperone mentioned for intimate examination. Weight documented.
4
Step 4
Do I Need This Investigation?
β–²collapse
Investigations should be ordered to answer a specific clinical question, not as a reflex "abdominal pain screen." A tiered approach works: first-tier (FBC, CRP, urinalysis, pregnancy test) applies to almost all new presentations. Second-tier (faecal calprotectin, coeliac screen, LFTs, amylase) is indicated by specific features. Third-tier (USS, CT, OGD, colonoscopy) requires a clear clinical narrative or specific concern. In the SCA, stating which test you are ordering and why it will change management β€” rather than just listing them β€” scores the Tasks domain.
InvestigationClinical question it answersWhat result changes management?
Full Blood Count (FBC)Is there anaemia from GI blood loss? Leucocytosis from infection or inflammation? Iron-deficiency pattern (low MCV, low ferritin)?Hb <110 g/L women or <130 g/L men + GI symptoms = 2WW. WCC >11 Γ— 10⁹/L = acute infection/inflammation. Low MCV + low ferritin = GI blood loss until proven otherwise
C-Reactive Protein (CRP)Is there systemic inflammation? Normal CRP supports functional diagnosis. CRP >50 with fever = IBD flare or acute infection. Serial CRP is the most useful monitoring tool in IBD.CRP <10 + normal FBC = supports functional diagnosis. CRP >50 + abdominal pain = active organic disease; same-day assessment. Persistently elevated = investigate for IBD, malignancy, or infection
Liver Function Tests (LFTs)Is there biliary obstruction, hepatic disease, or alcohol-related liver damage? Elevated ALP and bilirubin suggests biliary obstruction. Isolated elevated GGT = alcohol-related liver disease.Obstructive pattern β†’ urgent ERCP / hepatobiliary surgical referral. Hepatocellular pattern β†’ liver screen. Isolated elevated GGT β†’ alcohol reduction advice
Serum amylase or lipaseIs this acute pancreatitis? Amylase >3Γ— ULN with acute epigastric pain radiating to the back = diagnostic and requires immediate hospital admission.Amylase >3Γ— ULN + acute epigastric pain β†’ immediate hospital admission. Normal amylase does not exclude chronic pancreatitis β€” CT or MRCP required
Urine dipstick Β± MSUIs this pain caused by UTI, pyelonephritis, or renal colic? Haematuria in patients β‰₯40 = possible bladder/renal cancer (2WW). Glycosuria may indicate undiagnosed diabetes.UTI on dipstick β†’ antibiotics. Haematuria age β‰₯40 β†’ 2WW urology. Pyelonephritis with systemic upset β†’ same-day hospital assessment
Urinary pregnancy test (all reproductive-age women)Is this lower abdominal pain an ectopic pregnancy? Mandatory in any reproductive-age woman with lower abdominal pain regardless of stated contraception or last menstrual period.Positive test + lower abdominal pain = ectopic until proven otherwise β†’ immediate EPU referral or 999 if haemodynamically unstable
Coeliac screen: anti-TTG IgA + total serum IgAIs coeliac disease the cause of this patient's abdominal pain and altered bowel habit? Affects 1 in 100 UK adults, most undiagnosed. Requires patient to be on a gluten-containing diet. Total IgA must be checked (IgA deficiency gives false negative).Positive anti-TTG IgA β†’ gastroenterology referral for duodenal biopsy before starting GFD. Do NOT start gluten-free diet before biopsy β€” histology will be falsely negative. IgA deficiency β†’ request IgG-based antibodies
Faecal calprotectinIs this IBS or IBD? Calprotectin <50 ΞΌg/g has a high negative predictive value for IBD, allowing confident IBS diagnosis. NICE DG11 recommends faecal calprotectin before referral for colonoscopy in suspected IBS.Calprotectin >250 ΞΌg/g β†’ urgent gastroenterology referral (probable IBD). 50–250 = repeat in 4–6 weeks; if persistent, refer. <50 + Rome IV = diagnose IBS; begin IBS management without colonoscopy
H. pylori stool antigen testIs H. pylori infection causing this dyspepsia? Test before prescribing long-term PPI. IMPORTANT: stop PPI for 2 weeks and antibiotics for 4 weeks before testing to avoid false negatives.Positive β†’ 7-day triple eradication therapy; confirm eradication 4–6 weeks post-treatment. Negative with dyspepsia β†’ PPI trial 4–8 weeks; if <55 with no red flags, no OGD needed
Abdominal ultrasound (USS)Are there gallstones? Biliary dilatation? Palpable mass characterised? Free fluid (ascites, haemoperitoneum)? Aortic aneurysm? Renal obstruction? Ovarian cyst? First-line imaging for RUQ pain, biliary, renal, and gynaecological pathology.Gallstones + biliary colic β†’ elective cholecystectomy referral. Dilated CBD β†’ ERCP/hepatobiliary. AAA β‰₯5.5 cm (men) β†’ urgent vascular referral. Ovarian cyst >5 cm or complex β†’ gynaecology referral
πŸŽ“ SCA Checkpoint β€” Step 4TasksGlobal Skills
Investigation phrases that score
"I'd like to arrange some blood tests today β€” a blood count to check for anaemia, and an inflammatory marker to see if there's any sign of bowel inflammation."
"I'd also like to do a stool test β€” it's called a faecal calprotectin β€” which can really help us tell the difference between IBS and more significant bowel inflammation."
"Given your family history, I'd also like to check a coeliac blood test β€” that's a condition that runs in families and can cause very similar symptoms to IBS."
Investigation deductions
  • Ordering investigations without explaining to the patient what each one is looking for
  • Not checking pregnancy test in any reproductive-age woman with lower abdominal pain
  • Prescribing PPI for dyspepsia without testing for H. pylori first
  • Failing to order faecal calprotectin before diagnosing IBS or referring for colonoscopy
  • Starting the patient on a gluten-free diet before checking anti-TTG
  • Listing investigations without stating the clinical question they will answer
πŸ”΄ Red
No investigations ordered. Pregnancy test missed. H. pylori not tested before PPI. Investigations not justified to the patient.
🟠 Amber
Appropriate investigations ordered but rationale not explained. Calprotectin or coeliac screen omitted. Results timeline not given to patient.
🟒 Green
Each investigation individually justified to the patient. Tier-1 tests all ordered. Condition-specific tests correctly selected. Patient told timeline for results and what happens next.
5
Step 5
Reaching a Diagnosis & DDx β€” Explained in Plain Language
β–²collapse
Sharing a working diagnosis in plain language is non-negotiable in the SCA and in good clinical practice. Many patients leave GP appointments without knowing what the doctor thinks is wrong. This is a patient safety failure, a communication failure, and a missed therapeutic opportunity. Naming the diagnosis β€” even if provisional β€” respects the patient's autonomy, reduces anxiety, and improves adherence. Never leave the consultation without giving the patient your working diagnosis.
πŸ—£οΈ Explaining IBS in Plain Language β€” say something like this

"What I think is going on is something called irritable bowel syndrome, or IBS. Think of it like this: your bowel is a muscle, and like any muscle, it can go into spasm or cramp when it's irritated or under stress. In IBS, the bowel is working normally β€” nothing is damaged or diseased β€” but it's behaving as though it's oversensitive. Stress, certain foods, and sometimes hormonal changes can all set it off. The good news is that IBS, although it can be really uncomfortable, doesn't damage the bowel and doesn't turn into anything more serious. But I also want to make sure we do some tests first to confirm this and to rule out anything else, especially given your mum's history."

πŸ’¬ Addressing the patient's own explanation

"I think I'm just stressed β€” it'll sort itself out."
"Stress really can contribute significantly to bowel symptoms β€” you're right about that connection. But because these symptoms have been going on for several months, and because of your family history, I think it's worth checking a few things properly first. That way we can reassure you with much more confidence."

"It's probably just something I'm eating."
"Diet is definitely one of the most important factors in IBS and can make a big difference. Once we have the test results, I'd like to talk through some specific dietary changes that have really good evidence behind them β€” and I can also refer you to a dietitian who specialises in bowel problems. But let's do the tests first so we know exactly what we're dealing with."

A β€” Diagnosable in Primary Care
GP can diagnose

IBS (Irritable Bowel Syndrome)

Rome IV: recurrent abdominal pain β‰₯1 day/week in last 3 months associated with β‰₯2 of: related to defaecation; change in stool frequency; change in stool form. Requires normal FBC, CRP, and faecal calprotectin <50 ΞΌg/g. Diagnosis of confidence, not purely of exclusion.

Functional Constipation

Rome IV: β‰₯2 of straining, hard stools, incomplete evacuation, anorectal obstruction, manual manoeuvres, <3 bowel movements/week. Rule out thyroid disease, medication causes, and colorectal cancer in older patients before labelling as functional.

Musculoskeletal / Abdominal Wall Pain

Carnett's test positive (pain worsens on tensing abdominal muscles) distinguishes abdominal wall from visceral pain. Often post-surgical, post-traumatic, or nerve entrapment. Reassurance + physiotherapy + topical NSAID.

B β€” Suspected β€” Refer for Confirmation
Refer for confirmation

Inflammatory Bowel Disease (Crohn's / UC)

Bloody diarrhoea, urgency, nocturnal symptoms, weight loss, elevated faecal calprotectin and CRP. Gastroenterology referral for colonoscopy and biopsy. Crohn's can affect any GI segment; UC is continuous colonic disease from rectum.

Coeliac Disease

Bloating, diarrhoea, abdominal pain, iron deficiency, fatigue. Positive anti-TTG IgA. Refer gastroenterology for duodenal biopsy confirmation. Do NOT start GFD before biopsy β€” histological villi will recover and give a false negative.

Gallstone Disease (Biliary Colic / Cholecystitis)

Right upper quadrant or epigastric colicky pain 1–4 hours post-fatty meal, nausea. USS confirmation. Elective surgical referral for cholecystectomy. If fever + positive Murphy's: acute cholecystitis β€” same-day surgical assessment.

Gynaecological Pathology

Cyclical pain, dysmenorrhoea, deep dyspareunia β€” endometriosis (average 7–9 year diagnostic delay in UK). Adnexal mass on USS β€” ovarian cyst; gynaecology referral. PID: cervical excitation, fever, discharge β€” same-day empirical treatment per BASHH guidelines.

C β€” Emergency β€” Act Now
Diagnose & act immediately

Acute Appendicitis

Periumbilical pain migrating to RIF, anorexia, nausea, fever, rebound at McBurney's point. Alvarado score β‰₯7: admit. Do not give analgesia and send home. CT abdomen / USS confirms. Laparoscopic appendicectomy or IV antibiotics.

Ruptured Ectopic Pregnancy

Sudden lower abdominal pain, periumbilical or shoulder tip pain, haemodynamic instability, positive pregnancy test. 999 immediately. No intrauterine pregnancy on any previous USS does not exclude ectopic.

Ruptured / Leaking AAA

Tearing abdominal/back pain in age β‰₯60 with cardiovascular risk factors, pulsatile mass. 999. Mortality approaches 90% without emergency repair. Do not press firmly on a pulsatile mass.

Colorectal or Upper GI Malignancy

2WW criteria: age β‰₯40 + unexplained weight loss; rectal bleeding + change in bowel habit age β‰₯40; change in bowel habit β‰₯6 weeks age β‰₯60; iron deficiency anaemia; palpable mass; dysphagia. Refer within 2 working days; do not wait for investigation results.

πŸ“Š NICE NG12: Colorectal Cancer 2WW Referral Criteria β€” Summary
CriterionAgeAdditional conditionAction
Rectal bleedingβ‰₯40 yearsWith change in bowel habit to looser / more frequent stools for β‰₯6 weeks2WW referral
Change in bowel habit to looser / more frequentβ‰₯60 yearsWithout rectal bleeding, for β‰₯6 weeks2WW referral
Iron-deficiency anaemiaMen: any age; Women: post-menopausalHb <130 g/L men, <110 g/L women β€” unexplained2WW referral
Palpable rectal or abdominal massAny ageOn clinical examination2WW referral
Unexplained weight loss + abdominal painβ‰₯40 yearsUnintentional weight lossConsider 2WW
Rectal bleeding without anal symptomsβ‰₯50 yearsWithout change in bowel habitConsider 2WW
πŸŽ“ SCA Checkpoint β€” Step 5TasksRelating to Others
Diagnosis-sharing phrases
"What I think is most likely going on is IBS β€” a condition where the bowel is oversensitive rather than damaged or diseased. I know that's not a very satisfying answer when you're in pain, so let me explain what that means and what we can do."
"I want to do these tests first before I'm fully confident β€” particularly given your family history. Once the results are back, I can tell you with much more certainty what we're dealing with."
"I can see from your face that's not quite the answer you were expecting β€” can you tell me what you were thinking it might be?"
Diagnosis deductions
  • Leaving without giving a working diagnosis or explanation of what tests are looking for
  • Using terms like "just IBS" β€” this minimises a condition that significantly affects quality of life
  • Failing to address the cancer fear explicitly when the patient has volunteered a family history
  • Missing 2WW criteria and managing as IBS without appropriate cancer screening
  • Diagnosing IBS without checking faecal calprotectin (not NICE-concordant)
πŸ”΄ Red
No diagnosis shared. Cancer fear not named in the diagnostic discussion. IBS diagnosed without calprotectin. 2WW criteria missed.
🟠 Amber
Working diagnosis given but poorly explained. Cancer fear acknowledged at step 1 but not referenced in diagnostic discussion. Diagnosis given before tests without flagging it as provisional.
🟒 Green
Working diagnosis shared in plain language with an accessible analogy. Cancer fear explicitly named and addressed. Investigations framed as confirming the diagnosis. Patient's reaction to diagnosis explored.
6
Step 6
If Referral Is Needed β€” What the GP Does Before & During
β–²collapse
The quality of a GP referral determines the quality of specialist care the patient receives. A well-written referral frames the clinical question, includes relevant investigations completed, states urgency clearly, and communicates the patient's concerns. In the SCA, the referral decision must be communicated in plain language β€” "I'm going to put in a two-week wait" without explanation is not good communication and scores poorly in the Relating to Others domain.
Condition / IndicationUrgencyWhat GP does before referralWhat GP must NOT do
Acute abdomen / peritonism / surgical emergency999 nowCall 999. Keep patient still and comfortable. Do not give oral fluids. Brief telephone handover to ambulance crew. Stay with patient until handover. Document time of deterioration and clinical findings.Do not prescribe opioids and discharge home. Do not request routine USS for peritonism. Do not wait for blood test results before calling 999.
NICE NG12: 2WW colorectal cancer criteria met2-week waitComplete 2WW referral form with all clinical details, red flags, family history, examination findings, and blood results available. Explain to patient what the 2WW is, timeline (within 14 days), likely procedure (colonoscopy or flexible sigmoidoscopy). Do not wait for investigation results before referring β€” refer simultaneously with ordering tests.Do not delay referral to wait for FBC / calprotectin results. Do not reassure the patient it is "almost certainly benign" before referral is sent. Do not downgrade from 2WW to routine without documented clinical reason.
Suspected IBD (elevated calprotectin, clinical features)2–4 weeksFBC, CRP, ESR, albumin, faecal calprotectin, stool culture (exclude infective colitis first). Explain likely investigation pathway (colonoscopy + biopsy). Advise patient not to start steroids before biopsy. Nutritional assessment if weight loss.Do not start oral prednisolone without gastroenterology advice β€” may mask histological diagnosis. Do not diagnose IBD on clinical features alone without colonoscopic and histological confirmation.
Suspected coeliac disease (positive anti-TTG)4–6 weeksConfirm antibody titre, check total IgA level, advise patient to continue eating gluten until biopsy (at least 2 slices of bread daily for 6 weeks prior to endoscopy). Check FBC for haematinic deficiencies.Do not advise GFD before biopsy β€” histological villi recover and give false negative. Do not delay referral because patient feels better on reduced gluten.
Biliary colic with confirmed gallstones on USSElective surgicalUSS abdomen, LFTs, FBC. Dietary advice (low-fat diet reduces attack frequency). NSAIDs effective for acute episodes (avoid morphine β€” sphincter of Oddi spasm). Written referral with USS report to HPB surgery.Do not prescribe long-term opioids for biliary colic. Do not reassure that asymptomatic gallstones always need no treatment if they are clearly causing symptoms.
IBS refractory to primary care management (β‰₯12 months)Routine gastroDocument all treatments tried (dietary, antispasmodics, low-FODMAP, psychological). Ensure calprotectin, coeliac screen, FBC normal. Low-dose amitriptyline trial if not done. Dietitian referral if not done.Do not refer for colonoscopy on the basis of patient anxiety alone without clinical indication. Do not diagnose IBS and then not offer any positive management strategy.
πŸŽ“ SCA Checkpoint β€” Step 6TasksRelating to Others
Referral communication phrases
"I'd like to refer you to the bowel specialist team β€” this is what's called a two-week wait referral, which means you should hear from the hospital within two weeks to arrange a camera test to look at the lining of the bowel."
"I want to be clear about why I'm referring you: it's not because I'm certain something is wrong, but because we have a responsibility to check carefully given your age and symptoms. Most people referred this way are given the all-clear."
"While we're waiting for that appointment, please don't hesitate to come back if you develop any new bleeding, significant weight loss, or your pain gets much worse. Don't wait for the hospital appointment if things change significantly."
Referral deductions
  • Using "I'm going to put in a 2WW" without explaining what this means in plain language
  • Delaying 2WW referral to wait for investigation results when criteria are already met
  • Not addressing the emotional impact of being told you need cancer screening
  • Starting steroids before biopsy-confirmed IBD diagnosis
  • Advising GFD before confirmatory duodenal biopsy in suspected coeliac disease
πŸ”΄ Red
2WW criteria missed. Referral decision not communicated. Wrong urgency. Emergency sent home with routine referral.
🟠 Amber
Referral decision correct but poorly communicated. Emotional impact of referral not acknowledged. Pre-referral workup incomplete.
🟒 Green
Correct urgency. Explained in plain language including timeline and what to expect. Emotional impact acknowledged. Interim safety-netting given while awaiting appointment.
7
Step 7
Management β€” Expectation Β· Goals Β· Lifestyle Β· Prescribing Β· Drug Reference Β· Psychosocial Β· Follow-Up Β· Safety-Netting
β–²collapse
Management of abdominal pain is always cause-directed. For functional causes (IBS, functional dyspepsia), the evidence base favours a biopsychosocial approach: dietary modification, psychologically-informed conversations, and targeted pharmacology for symptom control. For organic causes, disease-specific management pathways apply. The plan must always be individualised to the patient's diagnosis, clinical context, and expressed preferences.
7A β€” Address the patient's expectation first: validate β†’ explain β†’ negotiate
🀝
Never dismiss the expectation β€” acknowledge it, share your reasoning, then agree a shared plan
1
Validate β€” name their expectation

In abdominal pain with a family history of bowel cancer, the most common expectation is a colonoscopy or scan. Name it before managing it β€” don't pretend the expectation isn't there.

"I imagine part of you was hoping I'd send you for a scan straight away β€” especially with what happened with your mum. That's a completely understandable expectation to have."
2
Explain β€” share your clinical reasoning

Explain why you are not immediately meeting the expectation. Frame the investigation plan as working toward the patient's goal, not away from it. Use the evidence: faecal calprotectin avoids unnecessary colonoscopy in 80% of IBS patients.

"The way I'd like to approach this is to start with some targeted tests that can tell us a lot about whether there is inflammation. If those come back indicating something needs further investigation, I will absolutely act on that quickly β€” including referring you for a camera test."
3
Negotiate β€” offer something today

Always leave the patient with something meaningful: an investigation, a treatment to try, a named follow-up. A patient who leaves with nothing agreed will re-consult, seek private investigations, or attend A&E.

"I'm arranging those tests today, and I'd like to see you back in two to three weeks to go through the results together. In the meantime, I'm going to give you something that can help with the pain, and I'd like to talk through some dietary changes with really good evidence behind them."
Key principle: In abdominal pain with a hidden cancer fear, meeting the concern at the level of emotion β€” naming it explicitly, taking it seriously, and building your investigation plan around it β€” is more therapeutically powerful than any prescription you can write. A patient who feels heard will engage with the management plan.
7B β€” Why treatment matters: goals tailored to this patient
Treatment goals
🎯 Accurate diagnosis β€” rule out malignancy🌿 Symptom control β€” reduce pain frequency πŸ’Š Treat underlying cause (H. pylori, IBD)πŸ₯— Dietary modification β€” low-FODMAP if IBS 🧠 Psychological support β€” brain-gut interventionπŸ“Š Monitor for complications β€” CRC surveillance πŸ“… Results review in 2–3 weeksπŸ›‘οΈ Named safety-net symptoms for re-consultation
Motivational language β€” tailored to this patient
"With the right changes, most people with IBS see a significant improvement in their symptoms within 3–6 months β€” and about 30% of people find their symptoms resolve completely with dietary changes alone."
"I know how much this has been affecting your daily life. The goal of what we're doing is to give you back control over your symptoms so this stops dictating what you can and can't do."
7C β€” Non-medication management: mechanism + evidence + tailored advice
Never give generic lifestyle advice. "Eat well, reduce stress, exercise more" is not clinically useful. Every piece of advice must be specific, measurable, and tied to a mechanism the patient can understand. "Increasing soluble fibre to 25–30g/day reduces IBS pain in 40% of patients" is far more motivating than "try to eat more fibre."
πŸ₯¦
Dietary Fibre β€” Soluble Type
Target: 25–30g/day, predominantly soluble
Mechanism

Soluble fibre (oats, psyllium husk, lentils) forms a gel in the gut, slowing transit and providing substrate for the microbiome. Insoluble fibre can worsen IBS bloating. The ratio matters: soluble preferred in IBS; total fibre crucial in constipation.

Practical

Start with 1 tablespoon psyllium husk (Fybogel) daily in water, increase slowly. Add porridge oats at breakfast. Introduce gradually over 4 weeks β€” too rapid an increase causes bloating initially.

Reduces IBS pain in 40% of patients within 8 weeks (RCT evidence)
🚫
Low-FODMAP Diet
Target: dietitian-guided 3-phase programme
Mechanism

FODMAPs are short-chain carbohydrates poorly absorbed in the small intestine. In IBS, they cause fermentation, gas production, osmotic fluid shifts, and pain. Restricting them reduces luminal contents and symptom load.

Practical

Requires trained dietitian guidance β€” self-directed low-FODMAP frequently leads to nutritional deficiencies. Three phases: elimination (4 weeks), systematic reintroduction (6–8 weeks), personalised long-term diet.

NICE-recommended; 50–70% IBS symptom reduction in RCTs; comparable to drug therapy
πŸƒ
Physical Activity
Target: 150 min/week moderate intensity
Mechanism

Exercise directly stimulates gut motility via the enteric nervous system and improves colonic transit time. Reduces HPA axis activation (stress response) and improves pain tolerance via endorphin release. Yoga has specific evidence for reducing IBS bloating.

Practical

Brisk walking 30 minutes five days per week is the minimum target. Avoid high-impact exercise immediately after meals. Yoga: 2–3 sessions per week specifically evidenced in IBS RCTs.

Reduces IBS symptom severity by 35–40% vs sedentary controls (RCT evidence)
🧘
Stress Management & Psychological Approaches
Target: daily stress reduction; gut-directed hypnotherapy
Mechanism

CBT for IBS directly targets the brain-gut axis by reducing visceral hypersensitivity and catastrophising. Gut-directed hypnotherapy (GDH) has the strongest NICE-endorsed evidence β€” 60–70% response rate, sustained at 5 years.

Practical

Refer to NHS Talking Therapies for CBT. Signpost to the Nerva app (gut-directed hypnotherapy β€” NICE Digital Health Technology approved). Mindfulness-based stress reduction also evidenced.

GDH: 60–70% response rate; CBT: 40–60%; both with sustained long-term benefit
πŸ’§
Hydration & Meal Pattern
Target: 6–8 glasses water/day; 3 regular meals
Mechanism

Inadequate fluid intake is the most common cause of constipation in UK adults. Irregular meal times impair gut motility rhythm (migrating motor complex requires predictable meal timing). Skipping meals then eating large volumes increases gas production.

Practical

Aim for 1.5–2 litres water daily. Take meals at consistent times. Eat slowly, avoid eating at a desk under time pressure. Reduce carbonated drinks (gas production) and coffee (gut stimulant) if symptoms worsen post-caffeine.

Adequate hydration reduces constipation severity by 40% in adults with low fluid intake
🍺
Alcohol, Caffeine & Smoking
Target: alcohol within CMO limits; caffeine reduction trial
Mechanism

Alcohol increases gut permeability, disrupts the gut microbiome, worsens GORD, and can precipitate IBS flares. Caffeine accelerates colonic transit and precipitates diarrhoea-predominant IBS. Smoking doubles Crohn's disease risk and impairs peptic ulcer healing.

Practical

Use AUDIT-C to screen for alcohol excess. Advise CMO limits (14 units/week, 3+ alcohol-free days). Trial 4-week caffeine reduction β€” switch to decaffeinated and assess symptom change. Smoking cessation referral for all smokers with IBS or peptic disease.

Alcohol and caffeine reduction improves IBS symptoms in 30–40% of regular users
7D β€” Prescribing guide: what to start, in what order, and why
Pharmacotherapy in abdominal pain is cause-dependent. For IBS, use stepped-care: antispasmodics for pain, laxatives for constipation subtype, loperamide for diarrhoea subtype. Step up to central neuromodulators (low-dose amitriptyline) for refractory disease. For organic causes (H. pylori, GORD, IBD), follow specific disease management pathways. Never treat symptoms without addressing the underlying cause.
Step 1 β€” First-line pharmacological alongside lifestyle

IBS pain-predominant: antispasmodic first

  • Mebeverine 135mg TDS before meals OR hyoscine butylbromide 10mg QDS
  • Prescribe as regular course for 4–6 weeks, not PRN β€” PRN use is less effective
  • IBS-C: macrogol (Movicol) 1–3 sachets/day β€” best evidence of all laxatives for IBS-C
  • IBS-D: loperamide 2mg after each loose stool (max 12mg/day)
Review at 6 weeks: if no response, step up to central neuromodulator
Step 2 β€” Central neuromodulators for refractory IBS

Low-dose amitriptyline: ATLANTIS trial evidence (2023)

  • Amitriptyline 10mg nocte, titrate to 30–75mg as tolerated
  • Mechanism: central neuromodulation β€” reduces visceral hypersensitivity; anticholinergic effects also slow gut transit (useful in IBS-D)
  • Counsel patient: this is not being used for depression; antidepressant doses are 5–10Γ— higher; benefits take 4–6 weeks
  • If amitriptyline not tolerated: nortriptyline (fewer anticholinergic effects) or SSRI (sertraline for IBS-C; citalopram for IBS-D)
ATLANTIS RCT (NEJM 2023): amitriptyline 10–30mg superior to placebo in IBS at 6 months
Step 3 β€” Disease-specific treatment for organic causes

Treat the organic cause specifically

  • H. pylori positive: 7-day triple therapy (lansoprazole 30mg BD + clarithromycin 500mg BD + amoxicillin 1g BD); confirm eradication 4–6 weeks post-treatment
  • GORD / peptic: lansoprazole 30mg or omeprazole 20mg OD for 4–8 weeks; step down to on-demand once resolved
  • IBD (following gastroenterology advice): mesalazine for UC; azathioprine/biologics for Crohn's β€” ALWAYS secondary care initiation
  • Coeliac: strict gluten-free diet β€” no pharmacological treatment; annual haematinic check; DEXA scan at diagnosis
All IBD immunosuppression should be initiated and supervised by gastroenterology β€” never independently in primary care
Step 4 β€” Refractory / Complex: Refer
  • IBS unresponsive to 12 months of best practice primary care β†’ gastroenterology referral
  • IBD requiring biologic therapy β†’ secondary care initiation only
  • Any new red flag developing at any point β†’ expedited 2WW regardless of previous reassuring investigations
  • Chronic abdominal pain with significant psychosocial burden β†’ pain clinic / psychology / liaison psychiatry
Special Cases
  • IBS in pregnancy: avoid mebeverine (limited safety data); macrogol safe; CBT and dietary modification first-line
  • Elderly patient with new abdominal pain: lower threshold for CT, 2WW referral; consider mesenteric ischaemia and malignancy first
  • Menstrual-related pain: consider endometriosis β€” mefenamic acid or COCP; gynaecology if refractory
  • Post-infective IBS: commonly develops after Campylobacter or Salmonella β€” manage as IBS; most cases improve within 12–24 months
7E β€” Medication selection tool

Select patient characteristics β€” pharmacological guidance appears below

Pharmacological quick reference
IBS pain β†’ Mebeverine 135mg TDS before meals Β· IBS-C β†’ Macrogol 1–3 sachets/day Β· IBS-D β†’ Loperamide 2mg after each loose stool Β· H. pylori β†’ 7-day triple therapy Β· GORD β†’ Omeprazole 20mg OD Γ— 4–8 weeks Β· Refractory IBS β†’ Amitriptyline 10mg nocte (ATLANTIS trial evidence)
7F β€” Drug reference cards: abdominal pain pharmacotherapy
Antispasmodics
Mebeverine 135mg Β· Hyoscine butylbromide (Buscopan) 10mg
βœ“ Recommended
Step 1 IBSMebeverine 135mg TDS
βœ“ Prefer when
IBS pain and cramping β€” pain-predominant or mixed subtype
Post-prandial abdominal bloating with crampy pain
Smooth muscle spasm on a background of functional bowel disorder
Patient requires rapid symptomatic relief while awaiting dietary or psychological interventions
βœ— Avoid if
Paralytic ileus or intestinal obstruction β€” smooth muscle relaxation will worsen obstruction
Hyoscine: known porphyria; myasthenia gravis; closed-angle glaucoma; avoid in elderly with high anticholinergic burden
⚠ Side effects
Mebeverine: generally well tolerated; very rarely allergic reactions
Hyoscine: dry mouth, blurred vision, urinary retention, constipation (anticholinergic class effects)
Avoid hyoscine in elderly β€” falls and confusion risk from anticholinergic burden
πŸ”¬ Monitor
Clinical response at 6 weeks β€” if no improvement, reconsider diagnosis and step up
No routine blood monitoring required for antispasmodics
Review need for continuation at 3–6 months once diet and lifestyle optimised
πŸ’¬ Counselling

"Take mebeverine 20 minutes before meals β€” that's the most important timing. It helps relax the bowel before food arrives, which is when most people get their symptoms. Take it as a regular course rather than just when you have pain."

SCA pearl: Mebeverine is often incorrectly prescribed PRN only. Evidence supports regular dosing 20 minutes before meals for 4–6 weeks. Always explain the timing β€” it is counterintuitive and poor timing reduces effectiveness significantly.

Proton Pump Inhibitors (PPIs)
Omeprazole 20mg Β· Lansoprazole 30mg Β· Pantoprazole 40mg
βœ“ Recommended
Step 1 GORD/PUOmeprazole 20–40mg OD
βœ“ Prefer when
GORD, peptic ulcer disease, or H. pylori-negative dyspepsia (no red flags, age <55)
NSAID-induced gastric symptoms β€” PPI reduces NSAID-associated ulcer risk by 80%
Long-term NSAID or anticoagulant users as gastroprotection regardless of symptoms
H. pylori eradication triple therapy (as the PPI component of the regimen)
βœ— Avoid if
Do not start PPI without testing for H. pylori first in dyspepsia (NICE CG184) β€” treating H. pylori is more cost-effective and prevents recurrence
Clopidogrel: omeprazole inhibits CYP2C19 β€” use pantoprazole or rabeprazole instead
Long-term high-dose: increased C. difficile risk, hypomagnesaemia, hip fracture β€” review annually and step down to lowest effective dose
⚠ Side effects
Headache, diarrhoea, nausea, abdominal pain (usually transient with initiation)
Long-term: hypomagnesaemia (monitor with diuretics or digoxin), C. difficile risk, osteoporosis
Subacute cutaneous lupus erythematosus β€” rare class effect; consider if unexplained rash develops
πŸ”¬ Monitor
H. pylori test before prescribing; confirm eradication with stool antigen 4–6 weeks after eradication course
Annual review for long-term PPI users β€” attempt step-down to on-demand dosing once controlled
Serum magnesium 6-monthly if on diuretics or digoxin alongside long-term PPI
πŸ’¬ Counselling

"Take the PPI 30 minutes before your morning meal β€” that's when it's most effective, as it works best when the acid pump is being actively stimulated by food. If you're taking it for H. pylori eradication, take it twice a day with the antibiotics for a full week β€” completing the full course is really important."

SCA pearl: NICE CG184 recommends testing and treating H. pylori before commencing long-term PPI in dyspepsia. Starting PPI without testing is one of the most common prescribing errors in primary care and in the SCA β€” it misses a curable cause and leads to unnecessary medication dependency.

Osmotic Laxatives
Macrogol 3350 (Movicol / Laxido) Β· Lactulose 15–30ml BD
βœ“ Recommended
Step 1 IBS-CMacrogol 1–3 sachets/day
βœ“ Prefer when
IBS constipation-predominant subtype β€” macrogol preferred over lactulose (less bloating/fermentation)
Functional constipation as a primary diagnosis
Opioid-induced constipation combined with stimulant laxative
Faecal loading on examination or history of faecal impaction
βœ— Avoid if
Confirmed or suspected bowel obstruction β€” osmotic agent worsens fluid imbalance proximal to obstruction
Severe active IBD flare β€” treat the inflammation first; laxatives not appropriate during active flare
⚠ Side effects
Bloating and flatulence (particularly lactulose β€” produced by colonic fermentation)
Abdominal cramping if started at high dose β€” always start low and titrate
Electrolyte disturbance with excessive use β€” not usually clinically significant in healthy adults at normal doses
πŸ”¬ Monitor
Bristol Stool Scale β€” aim for type 3–4 (sausage-shaped, smooth or soft cracks)
Review at 4–6 weeks and titrate; reassess need at 3 months
If no response to macrogol, consider adding stimulant laxative (senna or bisacodyl)
πŸ’¬ Counselling

"Macrogol works by drawing water into the bowel to soften the stool and make it easier to pass. It's not habit-forming and is safe to use regularly. Dissolve the sachet in a full glass of water once a day to start β€” you can increase to up to three sachets a day if needed. It usually takes a day or two to start working."

SCA pearl: Macrogol is specifically preferred over lactulose in IBS-C because lactulose causes significant fermentation, bloating, and flatulence β€” worsening the patient's most troublesome symptoms. Prescribing lactulose for IBS-C is a commonly made prescribing error.

Low-Dose Tricyclic Antidepressants
Amitriptyline 10–75mg nocte Β· Nortriptyline 10–50mg nocte
βœ“ Recommended
Step 2 Refractory IBSStart 10mg nocte
βœ“ Prefer when
Refractory IBS not responding to antispasmodics and dietary modification (NICE-recommended)
IBS with significant visceral hypersensitivity β€” constant or near-constant abdominal pain
IBS-D subtype (anticholinergic effect slows gut transit β€” additional benefit)
Comorbid chronic pain, sleep disorder, or depression alongside IBS
βœ— Avoid if
Recent myocardial infarction (within 3 months); cardiac arrhythmia; QTc prolongation on ECG
Severe liver impairment; concurrent MAOI use or within 14 days of stopping MAOI
Urinary retention, BPH, closed-angle glaucoma β€” anticholinergic caution
Elderly patients: high anticholinergic burden β€” start at 5mg; monitor for falls and confusion
⚠ Side effects
Sedation β€” usually beneficial taken at night; also improves IBS-related sleep disturbance
Dry mouth, constipation, blurred vision β€” dose-dependent anticholinergic effects
Weight gain with prolonged use β€” usually modest at low doses used for IBS
πŸ”¬ Monitor
ECG before starting if any cardiac history or QTc concern
Review at 4 weeks (initial response), 3 months (sustained response and side effects), 6 months
Reassess need annually β€” most patients can trial a slow wean after 12 months of good symptom control
πŸ’¬ Counselling

"I want to explain why I'm suggesting amitriptyline β€” not because I think your pain is in your mind, but because there's a well-proven connection between the brain and the gut. At this very low dose, it doesn't treat depression; it reduces the gut's oversensitivity to pain signals. It takes 4–6 weeks to work, and it will probably make you a bit drowsy at first β€” take it an hour before bed."

SCA pearl: The most important communication task when prescribing amitriptyline for IBS is pre-empting: "This is an antidepressant β€” does this mean you think it's all in my head?" Addressing this directly and empathetically before the patient says it is a high-scoring SCA communication skill that dramatically improves adherence.

H. pylori Eradication Therapy
Lansoprazole 30mg BD + Clarithromycin 500mg BD + Amoxicillin 1g BD Γ— 7 days
βœ“ Recommended
H. pylori +ve7-day triple therapy
βœ“ Prefer when
H. pylori positive on stool antigen or ΒΉΒ³C urea breath test with dyspepsia or epigastric pain
Peptic ulcer disease (duodenal or gastric) β€” H. pylori eradication is the definitive curative treatment
MALT lymphoma β€” H. pylori eradication is primary treatment in localised disease
First-degree relative with gastric cancer β€” H. pylori screening and eradication is recommended
βœ— Avoid if
Penicillin allergy β€” substitute metronidazole 400mg BD for amoxicillin in the regimen
Known clarithromycin resistance or prior clarithromycin treatment failure β€” use bismuth quadruple therapy as second-line (NICE CG184 updated guidance)
Check local antibiotic resistance rates β€” in areas with >20% clarithromycin resistance, use bismuth quadruple therapy first-line
⚠ Side effects
Metallic taste, nausea, diarrhoea, abdominal discomfort β€” common with clarithromycin
Avoid alcohol during any metronidazole-containing regimen (disulfiram-like reaction)
Antibiotic-associated diarrhoea / C. difficile β€” particularly in elderly or immunosuppressed patients
πŸ”¬ Monitor
Stool antigen or ΒΉΒ³C urea breath test 4–6 weeks after completing therapy (stop PPI 2 weeks before test)
If eradication confirmed and symptoms resolved β€” no further investigation required in patients <55 without red flags
If eradication confirmed but symptoms persist β€” OGD referral to exclude peptic ulcer or other pathology
πŸ’¬ Counselling

"H. pylori is a bacterium that lives in the stomach lining and can cause inflammation and ulcers. These three medicines together β€” taken over 7 days β€” will clear it in about 90% of people. Complete the full course even if you feel better partway through. After finishing, we'll do a simple stool test 4–6 weeks later to check it's gone."

SCA pearl: Stop PPI for 2 weeks (and antibiotics for 4 weeks) before testing for H. pylori β€” failure to do this causes false negative tests. This is one of the most common prescribing errors in primary care dyspepsia management and regularly appears in SCA cases.

Antidiarrhoeals
Loperamide 2mg Β· Colestyramine 4g (bile acid malabsorption)
βœ“ Recommended
Step 1 IBS-DLoperamide 2mg after loose stool
βœ“ Prefer when
IBS diarrhoea-predominant subtype with urgency and loose stool frequency
Post-infective IBS-D following acute gastroenteritis (Campylobacter, Salmonella, norovirus)
Functional diarrhoea once organic cause (IBD, coeliac, infection) has been excluded
Stoma management β€” regular loperamide reduces ileostomy output effectively
βœ— Avoid if
Active IBD flare (bloody diarrhoea, fever) β€” loperamide risks toxic megacolon in active colitis
Suspected bowel obstruction or C. difficile colitis β€” anti-motility agents contraindicated
Do not use long-term without clinical review β€” masks worsening organic disease
⚠ Side effects
Constipation if dose too high β€” titrate carefully
Abdominal bloating and cramping can worsen initially as motility is slowed
Dizziness and drowsiness at high doses β€” do not exceed 12mg/day (prescription formulation)
πŸ”¬ Monitor
Bowel diary β€” frequency and consistency (Bristol Stool Scale type 5–7 β†’ aim for type 3–4)
Review at 6 weeks; if ongoing need, ensure calprotectin normal and infection excluded
If poor response β€” consider low-dose amitriptyline (Step 2) or colestyramine if bile acid malabsorption suspected
πŸ’¬ Counselling

"Loperamide slows down how quickly things move through your bowel, which helps reduce the urgency and the frequency of loose stools. Take one 2mg tablet after each loose bowel motion, up to a maximum of four a day. Don't use it if you have blood in your stools or a temperature β€” and always let me know if the diarrhoea is getting worse despite taking it."

SCA pearl: Loperamide is contraindicated in active IBD flare (risk of toxic megacolon). The key question to ask before prescribing is: "Have you noticed any blood or mucus in the diarrhoea?" If yes, treat as possible IBD, not IBS-D, until proven otherwise.

7G β€” Psychosocial impact: daily life, work, relationships & wellbeing
πŸ«‚
How chronic abdominal pain and IBS affect every aspect of a patient's life
IBS is not merely a physical inconvenience. It imposes significant restrictions on social activity, employment, relationships, and mental health β€” comparable in quality-of-life impact to conditions that are more visibly serious. A 2021 UK survey found 87% of IBS sufferers had modified their social behaviour because of their condition. Exploring and addressing these impacts is a core GP responsibility.
🍽️
Food Fear & Social Dining

Many patients develop food anxiety β€” restricting their diet beyond what is clinically necessary, avoiding social eating, and cancelling meals out to maintain access to familiar toilets.

Ask: "Do you find yourself avoiding eating before events?" "Have you stopped going to restaurants?"

Clinical response: Dietitian-guided low-FODMAP reintroduction phase specifically addresses food fear by scientifically testing tolerance. Avoid validating excessive restriction without dietitian guidance.

"I want to make sure the dietary advice we give is targeted, not a blanket food ban β€” a dietitian can help you identify exactly which foods affect you, rather than cutting everything out."
πŸ’Ό
Work Attendance & Career

IBS is one of the leading causes of GI-related workplace absenteeism in the UK. Patients in physical jobs or without toilet access (drivers, construction, teachers) experience disproportionate impact.

Ask: "Has this affected your ability to do your job? Have you had to take time off?"

Clinical response: Fit Note with workplace accommodations (toilet access, flexible breaks). Consider occupational health referral for ongoing attendance difficulties.

"I can support you with a Fit Note if you need one, and I can write to your employer to suggest some practical adjustments that might make work much more manageable."
❀️
Relationships & Intimacy

Abdominal bloating, unpredictable bowel symptoms, and the psychological burden of chronic pain all impact intimate relationships. Deep dyspareunia alongside IBS symptoms raises the possibility of endometriosis.

Ask: "Has this condition affected any of your personal relationships or home life?"

Clinical response: If sexual pain (dyspareunia) reported alongside IBS symptoms, reconsider endometriosis as a diagnosis and refer gynaecology.

"It's completely understandable that something that affects you every day would have an impact on your relationships too. Have you been able to talk to your partner about how this has been affecting you?"
🚌
Travel, Leisure & Public Space

The unpredictability of IBS-D causes profound restrictions on travel, public transport, and leisure activity. Patients frequently plan journeys around toilet availability and decline social invitations.

Ask: "Have you found yourself avoiding travelling or going places? Do you plan around toilet availability?"

Clinical response: The Bladder and Bowel Community's "Can't Wait" card scheme is a practical UK resource. Normalise its use.

"There's a scheme called the Can't Wait card β€” it gives you access to toilets urgently in shops and public spaces. Patients often say it completely changes how they feel about going out."
🧠
Mental Health & Health Anxiety

There is bidirectional causality between IBS and mental health. Health anxiety β€” specifically fear of undiagnosed cancer β€” is common in patients with a family history of GI malignancy. Repeated investigations to reassure do NOT reduce health anxiety β€” they reinforce it.

Ask: "Have you found that worrying about what's causing this has been taking up a lot of your thinking?"

Clinical response: NHS Talking Therapies referral for CBT-based health anxiety treatment specifically designed for this context.

"There are specific psychological therapies that are very effective for this kind of worry β€” and they work just as well for the gut symptoms too, because of the connection between the brain and the bowel."
πŸ’Š
Medication Concerns & Stigma

Starting amitriptyline for gut symptoms triggers significant anxiety about being labelled as having a psychiatric diagnosis. This concern, if not proactively addressed, is the most common reason for non-adherence to the most effective pharmacological treatment for refractory IBS.

Ask: "How do you feel about the idea of medication to help with this? Any concerns about the treatment I'm suggesting?"

Clinical response: Pre-empt the stigma concern when prescribing amitriptyline β€” this single explanation dramatically improves adherence.

"Some people feel hesitant when I mention amitriptyline because it's technically an antidepressant β€” but at this very low dose, it's being used specifically for pain and gut sensitivity, not for mood. It's one of the best-evidenced treatments we have for this."
7H β€” Follow-up schedule
1
2–3 weeks: investigation results review

Review FBC, CRP, coeliac antibodies, faecal calprotectin, H. pylori result. Confirm or revise working diagnosis. Initiate first-line pharmacotherapy if not already started. Check 2WW referral appointment has been made if applicable.

2WW checkResults reviewTreatment initiation
2
6 weeks: treatment response review

Assess response to antispasmodics, laxatives, or PPI. Review dietary modification adherence. Check H. pylori eradication confirmed on stool antigen. Consider low-dose amitriptyline if first-line treatment has failed. Review IBD referral outcome if referred.

Treatment reviewStep-up if needed
3
3 months: sustained response assessment

If on amitriptyline β€” review response and side effects; titrate if partial response. Assess dietitian progress (low-FODMAP reintroduction phase). NHS Talking Therapies/CBT outcome if referred. If 2WW investigations normal β€” formally diagnose IBS and communicate clearly. Recheck for any new red flags.

IBS diagnosis confirmationAmitriptyline titration
4
6 months: consolidation and ongoing management plan

Review whether step-down in medication is appropriate. Assess psychosocial impact β€” has work, relationships, and social participation improved? Arrange annual review for patients on ongoing medication. Refer to gastroenterology if symptoms remain poorly controlled.

Annual planGastro referral if needed
5
Annual: surveillance and rechecking for red flags

Check weight, ask about new red flags (weight loss, rectal bleeding, change in bowel habit character). Review medication need. Colonoscopic surveillance for patients with FH of colorectal cancer in a first-degree relative <50 β€” colonoscopy at age 55 per NICE guidance.

Red flag re-screenCancer surveillance
7I β€” Monitoring: the ABCDE rule + investigation targets

Memory rule β€” monitoring in abdominal pain and IBS

Anaemia check (FBC annually if risk factors for GI blood loss); Bowel cancer surveillance (colonoscopy per FH protocol β€” first-degree relative <50: colonoscopy at 55); Calprotectin if symptoms change (reconsider IBD); Diet review (annual dietitian if on low-FODMAP); Eradication confirmed β€” stool antigen 4–6 weeks post H. pylori treatment, PPI off 2 weeks before testing

Treatment / ConditionMonitorTimingAction threshold
H. pylori eradicationStool antigen test (or ΒΉΒ³C urea breath test)4–6 weeks post-treatment (stop PPI 2 weeks before test)Positive result β†’ second-line bismuth quadruple therapy; gastroenterology if second-line fails
Long-term PPI (β‰₯6 months)Serum magnesium (especially with diuretics or digoxin); DEXA if β‰₯5 years + osteoporosis riskAnnual review; Mg 6-monthly if diuretics co-prescribedMg <0.7 mmol/L β†’ supplement or PPI dose review. Osteoporosis β†’ calcium/vitamin D supplementation
Low-dose amitriptyline (IBS)Symptom response (pain scale, Bristol stool chart); side effects; QTc if cardiac history4 weeks, 3 months, 6 months, annuallyNo response at 3 months despite adequate dose β†’ switch to nortriptyline or SSRI; consider gastroenterology referral
IBS / any persistent GI symptomsNew alarm symptoms at every review: weight, rectal bleeding, change in bowel habit characterEvery appointmentAny new red flag β†’ 2WW referral regardless of previous normal investigations
Known IBD (shared care / remission)FBC, CRP, ESR, albumin, vitamin D, faecal calprotectin; colonoscopic surveillance per protocol6-monthly when stable; calprotectin any time symptoms changeCalprotectin >250 + symptoms β†’ contact gastroenterology re: flare management
Patient groupKey target / ThresholdAction if not met
FH colorectal cancer (1st-degree relative <50)Colonoscopy at age 55 (NICE surveillance guideline)Refer; genetics referral if β‰₯2 first-degree relatives <50 (Lynch syndrome screening)
H. pylori eradication confirmedNegative stool antigen 4–6 weeks post-treatmentSecond-line bismuth quadruple therapy; OGD if peptic ulcer suspected
IBS symptom controlβ‰₯50% reduction in pain frequency/severity at 6–8 weeks of treatmentStep up; add psychological intervention; gastroenterology referral at 12 months if refractory
Active IBD remission (shared care)CRP <10 mg/L, faecal calprotectin <50 ΞΌg/g, albumin >35 g/LContact gastroenterology; do not start steroids without specialist advice
Coeliac disease (confirmed)Anti-TTG IgA negative on strict GFD at 12 months; haematinics normalDietitian review if antibodies remain elevated. DEXA at diagnosis and 3–5 years
Any age β‰₯50 with previously investigated GI symptomsAny change in symptom character = re-investigate2WW referral if new red flag; previous normal investigations do not remain valid indefinitely
7J β€” Safety-netting: exact phrases + medico-legal rationale

⚠ Three scenario-specific phrases β€” use these verbatim

πŸ”΄ Emergency β€” sudden severe pain or peritonism features
"If at any point you develop sudden severe abdominal pain β€” much worse than what you've been having β€” or if your tummy becomes rigid, or if you feel faint or collapse, please call 999 immediately and don't wait to call the surgery. This is the kind of situation that can change very quickly."
This phrasing is medico-legally protective because it gives specific, actionable symptoms rather than vague advice to "seek help if worried." Naming rigidity, fainting, and severity distinguishes surgical emergencies from routine IBS flares, reducing the risk of a patient sitting at home with an evolving surgical abdomen.
πŸ’Š New symptoms during treatment β€” bleeding or weight loss
"While we're waiting for results and while you're trying the treatment, I'd like you to come back β€” or call us β€” straightaway if you notice any blood in your stools, any unexplained weight loss of more than a few pounds, or any new symptoms that feel different to what you've been having. These things need to be checked quickly."
This creates a clear threshold for re-consultation. Without specific symptoms named, patients frequently delay seeking help for new red flag features because they assume the current plan is "managing things." Documenting this advice in the medical record is medico-legally critical.
🟠 2WW referral context β€” while awaiting appointment
"I've put in a two-week wait referral, and you should hear from the hospital within two weeks to arrange a camera test. While you're waiting, if you develop any new bleeding, significant increase in pain, or feel unusually unwell, please don't wait for that appointment β€” come back to us or go to A&E. The referral is for investigation, not for emergency treatment."
This critical distinction prevents patients from delaying emergency care during the 2WW period. Patients who believe their 2WW appointment will "deal with anything that comes up" may delay attending A&E for an acute complication of the very condition being investigated.
2–3 weeksReview investigation results; confirm 2WW appointment made if applicable
6 weeksTreatment response review; H. pylori eradication confirmation if applicable
3 months +Confirm IBS diagnosis if 2WW clear; step-up treatment if needed; psychology if not yet arranged
πŸŽ“ SCA Checkpoint β€” Step 7 (Final)TasksRelating to OthersGlobal Skills
Closing the consultation
"So to summarise what we've agreed today: I'm arranging the blood and stool tests, and I'd like to see you back in two to three weeks to go through the results together. In the meantime, I've prescribed mebeverine β€” taken 20 minutes before meals β€” and I'd like you to start keeping a food and symptom diary."
"Is there anything we've talked about today that doesn't feel quite right, or that you'd like me to go over again?"
"I want you to know that I've taken your concerns about your mum's cancer seriously β€” that's exactly why I want to make sure we do these tests properly."
"Please come back if anything changes or if you feel worse before we meet again β€” especially if you notice any bleeding or significant weight loss."
"Is there anything else worrying you that we haven't had a chance to discuss today?"
Deductions β€” closing
  • Not summarising the agreed plan β€” patient leaves unsure what is happening next
  • Failing to ask a closing question ("anything else?") β€” misses any remaining unvoiced concerns
  • Not giving specific safety-net symptoms for the abdominal pain context
  • Not revisiting the cancer concern at closing β€” it must be woven throughout, not just mentioned at step 1
  • Going over time without completing the management plan β€” data gathering took too long
  • Not naming a specific follow-up timepoint β€” "come back in a few weeks" is inadequate
Tasks domain β€” full criteria
  • History: systematic, complete, open question first, red flags screened, ICE fully explored
  • Investigations: appropriate, individually justified, results linked to plan, pregnancy test if indicated
  • Diagnosis: shared in plain language, provisional flag given if tests pending, DDx acknowledged
  • Management: cause-directed, biopsychosocial approach, stepped-care structure, lifestyle included
  • Safety-netting: specific named symptoms, specific timeframe, emergency pathway made clear
Relating to Others β€” full criteria
  • Open question used first in the consultation without exception
  • All three ICE components explicitly named and addressed in the management plan
  • Cancer fear named directly and empathetically throughout β€” not just at step 1
  • Diagnosis explained without jargon using an accessible analogy (oversensitive bowel muscle)
  • Shared decision making demonstrated β€” plan agreed, not imposed
  • Closing question asked and patient's response genuinely explored
πŸ”΄ Red β€” failing
No treatment plan. Cancer fear not addressed in management discussion. No safety-netting. No named follow-up. Consultation ended without a closing question.
🟠 Amber β€” borderline
Plan present but generic. Cancer fear acknowledged at step 1 but not woven into management. Safety-netting vague ("come back if worse"). Follow-up named without specific timepoint.
🟒 Green β€” passing
Specific, individualised plan. Cancer fear explicitly acknowledged and used to frame the investigation plan. Three specific safety-net symptoms named. Exact follow-up timepoint given. Closing question asked. Patient confirms understanding.
Abdominal Pain β€” SCA Consultation Scorecard
Based on the official SCA Consultation Tool Β· RAG self-assessment Β· Use after every practice consultation
0/ 33 pts
🌐
Global Skills
Structure, language, responsiveness
0/7
βœ“
Tasks
Clinical reasoning, diagnosis, management
0/15
🀝
Relating to Others
Communication, rapport, shared decision making
0/11
RAG Self-Assessment Guide
πŸ”΄ Red β€” not achieved
Cancer fear not named. No open question. Red flags missed. Generic or absent management plan. No safety-netting. Ends without a closing question or named follow-up.
🟠 Amber β€” partially achieved
Open question used but ICE incomplete. Cancer concern acknowledged but not built into the management discussion. Safety-netting given but vague ("come back if worse" without named symptoms).
🟒 Green β€” fully achieved
All ICE components explicitly named and addressed. Cancer fear woven throughout the consultation and managed therapeutically. Specific safety-net symptoms named. Exact follow-up timepoint given. Closing question asked and explored.
011172533
Fail
Borderline
Pass
Strong pass
πŸ“‹
Complete the checklist above to see your score interpretation and feedback
"I've been having this pain in my tummy on and off for about four months now β€” it's been bothering me, but I wasn't sure whether to bother coming in. It's probably nothing, isn't it?"
Who you are

Mrs D, 42, secondary school teacher. Lives with husband and two teenage children. Generally well, no significant past medical history. Mum was diagnosed with bowel cancer 8 months ago and is currently undergoing chemotherapy. You try to downplay your symptoms throughout but are clearly worried underneath. You came in mainly because your husband insisted.

Hidden agenda

You are terrified you have bowel cancer like your mum. You have been googling your symptoms for three months and convinced yourself it is cancer. However, you are too scared to say this directly because you feel "stupid" for worrying and are frightened of what the answer might be. If the candidate names cancer directly and empathetically, you will visibly relax and become much more engaged in the consultation.

Symptoms if asked directly
  • Crampy lower abdominal pain, 4–5/10 severity, 2–3 times per week
  • Worse after meals and when stressed at work (exam season currently)
  • Relieved by opening your bowels approximately 50% of the time
  • Bowel habit alternates between loose (2–3 times/day for a week) and constipated (nothing for 3 days)
  • No blood in stool or on paper β€” you have specifically been checking
  • No weight loss β€” you haven't weighed yourself but clothes still fit
  • Some bloating, especially in the evenings; pass wind more than usual
  • No nocturnal pain, no fever, no nausea or vomiting
  • Last period was normal, not pregnant
Lifestyle + bonus details
  • Significant work stress β€” exam season, year 11 parent complaints, school inspection coming up in 6 weeks
  • Drinks 2 cups of coffee in the morning and 1–2 glasses of wine most evenings
  • Diet is mostly processed food and ready meals due to time pressure; low in fibre
  • Exercise: minimal β€” walks to school occasionally but nothing regular since lockdown
  • Bonus detail (only if specifically asked about stress impact on body): "Actually, I did notice the pain got much worse during parents' evening β€” I was in agony for two days afterwards."
"But I've been reading online and it says that bowel cancer can have exactly these symptoms. My mum didn't have any symptoms at all until it was quite advanced β€” shouldn't you be doing a camera test, just to be safe? I don't understand why we're just doing blood tests."

Resolution: Mrs D will accept the plan if the candidate (1) names her cancer fear explicitly and empathetically by name, not euphemism; (2) explains clearly why blood and stool tests are the appropriate first step and what will happen if they are abnormal β€” including that a camera test will follow; and (3) gives her a specific follow-up appointment time rather than "I'll be in touch." She does not need to be given a colonoscopy today β€” she needs to feel heard and to understand there is a clear, monitored plan.

πŸ₯
Clinic Quick Reference
Abdominal Pain β€” Clinical Decision Framework
NICE NG12 Β· NG151 Β· CG86 Β· CKS 2023 Β· First Presentation
β–Όexpand
🚦 1 β€” Triage System
Patient presents with abdominal pain β†’ assess vitals, red flags, and clinical urgency first
↓
πŸ”΄ Emergency β€” 999
  • Peritonism: guarding, rebound, rigid abdomen
  • Ruptured AAA: tearing pain + pulsatile mass + haemodynamic instability
  • Ruptured ectopic: lower abdominal pain + positive pregnancy test + instability
  • Acute mesenteric ischaemia: pain out of proportion to examination findings in AF patient
  • Strangulated hernia / SBO with vascular compromise
Call 999 now
🟠 Urgent β€” Same-day / 2WW
  • Appendicitis (Alvarado 4–6): RIF pain, fever, anorexia
  • Acute cholecystitis: RUQ pain + fever + positive Murphy's
  • NICE NG12 2WW criteria: age β‰₯40 + weight loss; bleeding + habit change age β‰₯40; habit change β‰₯6 wks age β‰₯60; Hb <110/130 + GI symptoms; palpable mass; dysphagia
  • Severe IBD flare: bloody diarrhoea β‰₯6/day + fever + tachycardia
  • Stable ectopic suspected: lower abdominal pain + positive pregnancy test
Same-day / 2WW referral
🟒 Routine β€” Primary Care
  • IBS / functional: Rome IV criteria met, no red flags, normal examination
  • Constipation: infrequent hard stools, straining, lower abdominal discomfort
  • GORD / peptic (no red flags, age <55): epigastric burning, post-prandial, responds to antacids
  • Stable biliary colic: episodic RUQ pain, no fever, no jaundice
Investigate + manage in primary care
πŸ”¬ 2 β€” Diagnostic Pathway
IBS Diagnosis β€” Rome IV Criteria
Recurrent abdominal pain β‰₯1 day/week in the last 3 months, with onset β‰₯6 months ago, associated with β‰₯2 of:
  • Related to defaecation (better or worse)
  • Change in stool frequency
  • Change in stool form/appearance
PLUS: normal FBC, CRP, coeliac screen, and faecal calprotectin <50 ΞΌg/g
Baseline Investigations β€” First Presentation
  • FBC (anaemia, infection, eosinophilia)
  • CRP / ESR (systemic inflammation)
  • LFTs (biliary / hepatic cause)
  • Faecal calprotectin (IBD vs IBS β€” NICE DG11)
  • Anti-TTG IgA + total IgA (coeliac screen)
  • H. pylori stool antigen (if dyspeptic features)
  • Urine dipstick (UTI / haematuria)
  • Pregnancy test (reproductive-age women β€” mandatory)
πŸ“Š 3 β€” Key Numbers
>50%
Abdominal pain in 1Β° care β€” no organic cause
2WW
Referral if age β‰₯40 + unexplained weight loss + abdominal symptoms
β‰₯60 yrs
Change in bowel habit β‰₯6 weeks β†’ 2WW colorectal referral
Hb <110
g/L (women) + GI symptoms = 2WW iron-deficiency referral
Alvarado β‰₯7
Appendicitis risk score β€” admit for surgical assessment
Calprotectin <50
ΞΌg/g β€” supports IBS diagnosis; avoids colonoscopy
Calprotectin >250
ΞΌg/g β€” refer urgent gastroenterology (probable IBD)
4–6 wks
Post-H. pylori eradication: stool antigen test (PPI off 2 wks)
10mg nocte
Amitriptyline starting dose for refractory IBS (ATLANTIS trial)
135mg TDS
Mebeverine dose β€” 20 minutes before meals for IBS pain
Age 55
Colonoscopy for FH colorectal cancer (1st-degree relative <50)
Rome IV
IBS: β‰₯1 day/wk pain Γ— 3 months + β‰₯2 bowel criteria
πŸ’Š 4 β€” Medication Decision & Choice
IBS β€” Stepped Pharmacotherapy
Step 1 β€” IBS-M or IBS-pain: Mebeverine 135mg TDS before meals (or hyoscine 10mg QDS)
Step 1 β€” IBS-C: Macrogol (Movicol) 1–3 sachets daily (not lactulose β€” worsens bloating)
Step 1 β€” IBS-D: Loperamide 2mg after each loose stool (max 12mg/day)
Step 2 β€” Refractory: Amitriptyline 10mg nocte β†’ titrate to 30–75mg (ATLANTIS RCT 2023)
Step 2 alternative: Nortriptyline if anticholinergic side effects problematic; SSRI if mood comorbidity
Organic Causes β€” Specific Treatment
H. pylori positive: Lansoprazole 30mg BD + Clarithromycin 500mg BD + Amoxicillin 1g BD Γ— 7 days; confirm eradication at 4–6 weeks
GORD / peptic (no red flags, <55): Omeprazole 20mg OD or Lansoprazole 30mg OD Γ— 4–8 weeks
Coeliac: Strict gluten-free diet β€” gastroenterology first; no pharmacological treatment
IBD: Mesalazine (UC) / azathioprine / biologics β€” secondary care initiation only; never independently in primary care
⚠ 5 β€” Safety Netting & Follow-Up
πŸ”΄ Emergency symptoms β€” call 999
"Sudden severe pain, rigid tummy, faintness, or collapse β†’ call 999 immediately, do not wait to call the surgery."
πŸ’Š New symptoms during treatment
"Blood in stools, unexplained weight loss, or symptoms that feel different β†’ come back or call us straight away."
🟠 While awaiting 2WW appointment
"If you develop new bleeding, significant increase in pain, or feel unusually unwell β€” go to A&E; don't wait for the hospital appointment."
Follow-up timeline
1
2–3 weeks: Investigation results review; confirm 2WW appointment made
2
6 weeks: Treatment response; H. pylori eradication check; step-up if needed
3
3 months: Sustained response; IBS diagnosis confirmed if 2WW clear
4
6 months: Consolidation; psychosocial impact review; gastro if refractory
5
Annual: Red flag re-screen; weight; bowel cancer surveillance if FH
πŸ“Œ H. pylori eradication test: stool antigen 4–6 weeks post-treatment (PPI off for 2 weeks before testing)
πŸ”¬ 6 β€” Monitoring & Red Flags
Treatment / ConditionMonitorTimingAction threshold
H. pylori eradicationStool antigen or ΒΉΒ³C urea breath test4–6 weeks post-treatment (PPI off 2 wks)Positive β†’ second-line bismuth quadruple; gastroenterology if second-line fails
Long-term PPI (>6 months)Serum magnesium; DEXA if β‰₯5 years + osteoporosis riskAnnual; Mg 6-monthly with diureticsMg <0.7 mmol/L β†’ supplement. Step down PPI to lowest effective dose annually
Amitriptyline (IBS)Symptom response; side effects; QTc if cardiac history4 wks, 3 months, 6 months, annuallyNo response at 3 months β†’ switch class; consider gastroenterology referral
IBD (shared care)FBC, CRP, albumin, vitamin D, faecal calprotectin6-monthly when stableCalprotectin >250 + symptoms β†’ gastroenterology re: flare management
Coeliac diseaseAnti-TTG IgA; haematinics (Hb, iron, folate, B12, vit D); DEXAAnnual; DEXA at diagnosis and 3–5 yearsRaised antibodies on GFD β†’ dietitian review (dietary non-compliance)
Any age β‰₯50 with GI symptomsWeight, rectal bleeding, change in bowel habit characterEvery appointmentAny new red flag β†’ 2WW referral regardless of previous normal investigations
🚨 Emergency red flags: Peritonism (guarding, rebound, rigid abdomen); haemodynamic instability + abdominal pain; suspected ruptured AAA or ectopic pregnancy β†’ 999 immediately
πŸ›‘οΈ Safeguarding: Consider domestic abuse / hidden harm in recurrent unexplained lower abdominal pain; see patient alone; use HARK tool; document objectively and refer to safeguarding lead
πŸŽ“
SCA Exam Quick Reference
SCA Consultation Blueprint
Tasks Β· Relating to Others Β· Global Skills Β· RAG guide
β–Όexpand
πŸ• 12-Minute Consultation Flow β€” with Domain Scoring
0–2 min
Open & Set the Scene
"I can see from the notes this has been going on for a few months β€” tell me more about what's been happening from your point of view."
Use information already provided. One broad open question. Then silence β€” let patient lead.
Do NOT say "What brings you in today?" when the case card already tells you.
Global SkillsRelating to Others
βœ— Asking patient to repeat information already on the case card Β· βœ— Jumping to closed questions immediately
2–6 min
Targeted History + ICE
"I'm wondering β€” given what happened with your mum β€” whether there's part of you that's been worrying this could be something serious, like bowel cancer."
SOCRATES pain. Bowel habit. Rectal bleeding. Weight. Urinary/gynaecological. Family history. Red flags screened. ICE β€” name the cancer fear explicitly.
Must finish data gathering by end of minute 6 to leave 6 minutes for management.
TasksRelating to OthersGlobal Skills
βœ— Naming cancer fear only as "are you worried about anything?" β€” must name it specifically Β· βœ— ICE left until minute 8+
6–8 min
Diagnosis + Investigations
"What I think is most likely going on is IBS β€” think of it as the bowel being oversensitive rather than damaged. But I want to do tests first, especially given your family history."
Share working diagnosis in plain language with analogy. Justify investigations individually. State calprotectin, coeliac, FBC, CRP. Mention pregnancy test if applicable.
TasksRelating to Others
βœ— "Just IBS" β€” minimises the condition Β· βœ— Not explaining what each test is looking for Β· βœ— Skipping calprotectin
8–11 min
Management Plan
"I'm going to prescribe mebeverine β€” taken 20 minutes before meals. I'd also like to talk through some dietary changes and refer you to a dietitian."
Address expectation first (validate colonoscopy request). Treatment goals. First-line pharmacotherapy. At least one specific lifestyle recommendation. Psychosocial context if identified.
TasksRelating to Others
βœ— Generic lifestyle advice ("reduce stress", "eat well") Β· βœ— No pharmacotherapy offered Β· βœ— Dismissing colonoscopy request without validating it first
11–12 min
Safety-Net + Close
"If you notice any blood in your stools, unexplained weight loss, or pain that's much worse β€” come back straight away. I'd like to see you in 2–3 weeks to go through the results together."
Named symptoms for emergency re-presentation. Specific follow-up timepoint. Closing question: "Is there anything else you'd like to ask today?"
TasksRelating to OthersGlobal Skills
βœ— Vague safety-net ("come back if worse") Β· βœ— No closing question Β· βœ— No specific follow-up timepoint given
πŸ”΄πŸŸ πŸŸ’ RAG Scoring β€” All 3 Domains
Tasks Domain
🟒
Red flags all screened. Investigations individually justified. Working diagnosis shared in plain language. Management cause-directed and biopsychosocial. Specific, named safety-netting.
🟠
Most tasks completed but some red flags missed or investigations not justified. Diagnosis given but explanation inadequate. Management plan present but generic.
πŸ”΄
Red flags not screened. 2WW criteria missed. No working diagnosis shared. Management absent or entirely symptom-only. Safety-netting absent.
Relating to Others
🟒
Open question first. All ICE components explicitly named. Cancer fear named and woven through the consultation. Diagnosis with accessible analogy. Shared decision making evident. Closing question asked.
🟠
Open question used but ICE incomplete (e.g. concerns not named directly). Cancer fear identified but not explicitly named. Plan agreed but not truly negotiated.
πŸ”΄
No open question. Cancer fear not named. ICE absent. Diagnosis not shared or given in jargon. No closing question. Patient not engaged in plan.
Global Skills
🟒
Structured, logical flow. Data gathering complete by minute 6–7. Available information used from the start. Plain language throughout. Professional empathetic tone. Closing question asked.
🟠
Broadly structured but data gathering runs into minute 8. Some medical jargon used without explanation. Available information not fully utilised from the outset.
πŸ”΄
Disorganised. Data gathering still ongoing at minute 9+. Patient asked to repeat information in the notes. Medical jargon used throughout. No closing question.
πŸ’¬ Key Phrases β€” ICE, Diagnosis & Plan
Ideas
"What have you been thinking might be causing this? Have you had any thoughts yourself about what it could be?"
Concerns β€” name the cancer fear
"I'm wondering β€” given what happened with your mum β€” whether you've been worrying this could be something like bowel cancer?"
Expectations
"What were you hoping we might be able to do for you today β€” was there something specific you were looking for?"
Validate the expectation
"I completely understand why you'd want a camera test straight away β€” especially with your mum's diagnosis. Let me explain why I'd like to start with some targeted tests first."
Diagnosis in plain language
"Think of IBS as the bowel being an oversensitive muscle β€” nothing damaged or diseased, but it reacts more strongly than it should to stress, food, and hormones."
Close and safety-net
"If you notice blood in your stools, unexplained weight loss, or pain that's suddenly much worse β€” come back straight away, don't wait. Is there anything else you'd like to ask?"
🚫 9 Danger Zones β€” Instant Deductions
βœ—
Opening with "What brings you in today?" when the case card already says abdominal pain→ Use the information: "I can see you've been having tummy pain — tell me more about it."
βœ—
Failing to name the cancer fear explicitly→ "I'm wondering if you're worried this could be anything like what your mum had."
βœ—
Missing 2WW criteria (age, bleeding, weight loss, bowel habit change β‰₯6 weeks age β‰₯60)β†’ Screen all NICE NG12 criteria for every patient with new abdominal symptoms.
βœ—
Prescribing PPI for dyspepsia without testing for H. pylori first→ Stool antigen test before PPI prescription — H. pylori eradication is the definitive treatment.
βœ—
Diagnosing IBS without checking faecal calprotectin→ NICE DG11 recommends calprotectin before colonoscopy referral in suspected IBS.
βœ—
Not checking pregnancy test in a reproductive-age woman with lower abdominal pain→ Mandatory regardless of stated contraception, LMP, or denial of sexual activity.
βœ—
Giving generic lifestyle advice ("eat well, reduce stress, exercise more")β†’ Specific, quantified, mechanism-linked advice only: "Mebeverine 20 minutes before meals", "low-FODMAP dietitian referral".
βœ—
Vague safety-netting ("come back if you feel worse")β†’ Name specific symptoms: blood in stools, unexplained weight loss, sudden severe pain, rigidity.
βœ—
Not asking a closing question before ending the consultation→ Always: "Is there anything else you'd like to ask or anything we haven't covered today?"
πŸ’Š Drug Quick-Pick
IBS β€” pain/cramping/bloating
β†’
Mebeverine 135mg TDS
20 min before meals
IBS β€” constipation-predominant
β†’
Macrogol 1–3 sachets/day
Not lactulose
IBS β€” diarrhoea-predominant
β†’
Loperamide 2mg after loose stool
Max 12mg/day
Refractory IBS (β‰₯6 months)
β†’
Amitriptyline 10mg nocte
ATLANTIS trial
H. pylori positive + dyspepsia
β†’
7-day triple therapy
Confirm eradication 4–6 wks
GORD / peptic (no red flags, <55)
β†’
Omeprazole 20mg OD Γ— 4–8 wks
H. pylori test first
β›” NEVER prescribe PPI for dyspepsia without testing H. pylori first Β· NEVER diagnose IBS without calprotectin Β· NEVER advise GFD before confirmatory duodenal biopsy in coeliac
Reviewed: July 2026 Β· citations verified against current NICE / UK guidance