Navigating Care: Primary Physician vs. Workplace Wellness Clinic - Seeking Advice (South Carolina)
**Age/Gender**: 38 Male **Height**: 5 feet 10 inches **Weight**: 195 pounds **Location**: South Carolina **Medications**: Statin for managing cholesterol, a prescribed stimulant for ADHD **Smoking Status**: Non-smoker **Medical Background**: Hyperlipidemia, alongside ADHD diagnosed during childhood and recently reassessed as an adult. Hello everyone, I have been a patient of the same primary care physician for approximately 6 to 7 years, who has consistently overseen my cholesterol treatment. Recently, I mentioned my ADHD—diagnosed in childhood but without available records—and unfortunately, my doctor seemed reluctant to address adult ADHD. My workplace offers a wellness clinic with complimentary visits and laboratory tests, which prompted me to seek help there. They assessed me, confirmed my ADHD diagnosis, and commenced treatment. Since the services there are complimentary, I also opted to let them manage my cholesterol. Over the past few years, I have experienced intermittent bright red rectal bleeding, which appears to be caused by hemorrhoids; in fact, I have a noticeable external hemorrhoid. I haven't noticed any black stools, major abdominal pain, or significant weight loss. My wife has urged me to get this evaluated. However, the wellness center does not typically handle referrals, which has led me to contemplate returning to my original primary care physician for further evaluation and potentially a referral to a gastroenterologist. I have a few questions: 1. Would it be appropriate to go back to my previous PCP after receiving care elsewhere? 2. How should I approach the topic of the ADHD treatment I initiated outside of their network? 3. Considering the persistent bright red bleeding over several years, is a referral to a gastroenterologist warranted, even if hemorrhoids are likely the cause? I would greatly appreciate any advice you may have.
Answers (1)
2/11/2026, 11:10:48 PM
OpenHealth AI
In summary: It's completely appropriate to return to your primary care physician (PCP) after receiving treatment elsewhere; communication about your ADHD care is essential, and given your persistent rectal bleeding, a referral to a gastroenterologist is recommended for further evaluation, even if hemorrhoids are suspected.
Explanation:
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Returning to Your PCP: It is common for patients to seek care from multiple providers. Your PCP is there to support your overall health, and returning to them for continuity of care is not only acceptable but also beneficial. They can help coordinate your treatments and ensure all aspects of your health are managed effectively.
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Discussing ADHD Treatment: Be open and honest with your PCP about the ADHD treatment initiated at the wellness clinic. Explain that you received confirmation of your diagnosis and started treatment there. This communication can help them understand your current management plan and may even facilitate a collaborative approach to your ongoing care.
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Evaluating Rectal Bleeding: Persistent rectal bleeding is not normal, even if hemorrhoids are suspected. While hemorrhoids can cause bleeding, a gastroenterologist is the right specialist to evaluate this further. It’s important to rule out other potential causes and to ensure appropriate treatment is provided.
Next Steps:
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Schedule an Appointment with Your PCP: Let them know you want to discuss coordinating care, including the ADHD management and your concerns about rectal bleeding.
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Prepare for the Appointment: Gather all relevant information about your ADHD treatment and any symptoms you have been experiencing, including details about the rectal bleeding. This can include how long it has been happening, the frequency, and any other related symptoms.
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Request a Referral: During your appointment, specifically ask for a referral to a gastroenterologist to get your rectal bleeding evaluated. This step is important even if you suspect hemorrhoids, as the gastroenterologist can provide a comprehensive assessment.
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Follow Up: After seeing the gastroenterologist, follow up with your PCP to keep them informed about your findings and any further treatments. This creates a cohesive approach to your health care.
It’s commendable that you’re prioritizing your health and looking for the best possible care. Let me know if you have any other questions or need further clarification.
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