Established Inflammatory Bowel Disease (IBD)


North South North West Statewide

Pre-referral work-up


All referrals should comply to referral standards and include in particular:


  • Crohn's
  • Ulcerative colitis
  • Indeterminate colitis
  • Site: proctitis, left colon, pancolitis, small bowel
  • Details of any previous endoscopies (date, result)
  • Complications e.g. fistula
  • Extra intestinal manifestations e.g. arthritis, iritis, erythema nodosum


Initial work up:

  • FBE
  • ESR and CRP
  • Faecal specimen for M,C&S
  • Iron studies

Interim/GP management

To refer a patient with this condition, please see the Gastroenterology clinic page for the full referral process and templates.

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

When patient presents with any of the following, contact Gastroenterology Registrar via switch 6166 8308

  • >6 loose bowel actions per day
  • Urgency
  • PR bleeding
  • Significant abdominal pain
  • Significant weight loss
  • Anaemia
  • Previously severe disease

Semi-urgent / category 2

  • 4 – 6 loose bowel actions per day
  • Occasional PR blood
  • Mild abdominal pain
  • Recurrent symptoms on reducing Steroids
  • Patients known to the IBD Clinic

Routine / category 3


At least 3 monthly review

  • If taking azathioprine, 6MP, MTX,  infliximab

Patients in remission

  • Colonoscopy screening for colorectal cancer

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

GESA Guideline:Inflammatory Bowel Disease (2013)


Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 8302  Fax: (03) 6777 5201
MCH ED – Phone: 0409 867 492  Fax: (03) 6441 5923
NWRH ED – Phone: 0459 848 725  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6101  Fax: (03) 6173 0489


We will endeavour to see these patients within four weeks

Urgent referrals should be accompanied by a phone call to the clinic and the relevant doctor for urgent assessment, or patient should be directed immediately to the Emergency Department.


We will endeavour to see these patients within 12 weeks


Next available appointment