Not all polyps are the same

Rachel is a 28-year-old lawyer. For five weeks, she has been working very long hours and not eating regular, healthy meals.

She sees her GP because she is constipated, and notes a few episodes of bright red blood on the toilet paper and in the bowl. She has no other medical history.

Her father has had colonic polyps. She does not smoke. She drinks four glasses of wine on weekends. She is not on any regular medications.

She looks well, has normal heart rate and blood pressure. Abdominal examination is unremarkable. She is anxious about the