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[7] [8] Medical supervision is essential

Additional red flag symptoms that warrant emergency assessment include severe abdominal pain, particularly if localized and persistent, fever accompanying rectal bleeding, and vomiting blood (hematemesis) or coffee-ground material

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Contact your GP if you experience rectal bleeding (even if minor), severe or persistent anal pain, a lump near the anus that does not resolve, persistent constipation despite management, or signs of anaemia