Criteria for referral to public hospital specialist clinic services

  • Chronic refractory diarrhoea lasting more than 4 weeks with refractory symptoms (following an adequate trial of treatment) that affect the person’s activities of daily living.

Information to be included in the referral

Information that must be provided

  • Onset, characteristics and duration of symptoms
  • Details of previous medical management including the course of treatment and outcome of treatment
  • Details of any previous gastroenterology assessments or opinions
  • Previous histopathology results.

Provide if available

  • Full blood examination
  • Iron studies
  • Vitamin B12 and folate test results
  • 25-OH vitamin D results
  • Faecal calprotectin
  • Erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP)
  • Previous colonoscopy results
  • If symptoms are thought to be linked to probable or confirmed SARS CoV-2 (COVID-19) infection or Long COVID.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

The referral should note that the request is for advice on, or review of, the current management plan as requests for a second opinion will usually not be accepted.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

  • Laxative dependence.