Lower GI Diagnostic Pathway

Assess and investigate lower GI symptoms with confidence

Practical, step-by-step pathways for assessing, investigating and referring adults and children with lower GI symptoms. Evidence-based and peer-reviewed, following NICE guidance and endorsed by the RCN and RCGP.

View patient resources

A step by step guide for Primary Healthcare Professionals

Why the pathway was created and how it can help you in your clinical practice.

Created December 2025.

Why these resources matter

Clear, consistent clinical pathways support fast and accurate assessments of lower GI symptoms. These pathways help standardise decision-making and reduce unnecessary variation in care. Complementary patient facing resources can also help patients know what to expect.

Reduce time to diagnosis

Increase consistency in care.

Support informed patient conversations

How the pathways are relevant for secondary heath
Created December 2025.

Explore the pathways

Use these pathways to support structured history taking, guide appropriate investigations, and reduce delays in diagnosis.

Adult pathway

A concise reference tool for assessing lower-GI symptoms in adults. Designed for use before or during consultations.

Scope overview:

Symptom patterns and what they may indicate.
Red flags for suspected cancer.
Conditions to consider.
Recommended investigations.
Safety-netting guidance.

Adult pathway - PDF

Diagnostic pathway for adults.

Adult pathway (PDF)

Paediatric pathway

A concise reference tool for assessing lower-GI symptoms in children and young people. Designed for use before or during consultations.

Scope overview:

Symptom patterns and what they may indicate.
Conditions to consider.
Recommended investigations.
Safety-netting guidance.

Paediatric pathway - PDF

Diagnostic pathway for children.

Paediatric pathway (PDF)

Making the most of these resources

Share patient guides to support informed conversations.
Use pathways as concise reference tools in consultations.
View patient resources

FAQs for clinicians

How should I use these pathways in practice?

Are these pathways aligned with NICE guidance?

Can I share this website with patients?

How often are these materials updated?

Trusted guidance

This information was created by UK charities working together with healthcare professionals and people with lived experience.