Patients presenting atypically seem to experience longer waiting times before diagnosis, which may be a possible side effect of having alarm symptom
based fast track referral programs such as the CPPs.
We included a number of general symptoms based on the knowledge that cancer patients in addition to presenting a specific alarm symptom
often also present vague and uncharacteristic symptoms [15, 18].
Overall, weight loss (20.1%) and altered bowel movements (5.7%) were the most common alarm symptoms
, and were found to predominantly occur among patients with positive findings.
In patients without alarm symptoms
, extensive diagnostic testing to rule out other disorders is unlikely to yield a new diagnosis in those with IBS symptoms who meet Rome IV criteria.
The average waiting time for all booked cases, including those with alarm symptoms
, was as follows: upper endoscopy 27 (range 7-60) days, colonoscopy 29 (range 7-90) days and duodenoscopy/ERCP 13 (range 4-20) days.
Worrying about wasting your GP's time is stopping people reporting cancer alarm symptoms
, says a University of Surrey study in the British Journal of Clinical Practice.
It is worth noting that one-fourth of patients with malignancy and dyspepsia has no alarm symptoms
The aggregate analysis of EMM cases held in the period 20072012 in Colombia revealed the presence of delays in obstetric care either by the lack of recognition of alarm symptoms
by the patient, or the lack of adequate medical care.
Esophagogastroduodenoscopy (EGD) should not be ordered unless the patient exhibits "alarm symptoms
The GPS, he said, should exclude alarm symptoms
and evaluate extra esophageal symptoms.
These are alarm symptoms
necessitating urgent upper gastrointestinal endoscopy.
Under the ACG approach, a patient who gives a history consistent with IBS and has no alarm symptoms
or signs--weight loss, fever, rectal bleeding, malnutrition, anemia, a low albumin level, or an elevated WBC--can reasonably be assumed to have IBS and can move straight to a therapeutic trial.