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Bowel Screening

NHS Lanarkshire

Bowel tests are now being issued but are approximately 6 months behind as a result of the national pause to screening in March 2020. Please be patient with us as we resume the service.

NHS Lanarkshire will be in touch if you are due to attend a colonoscopy appointment.

While the bowel screening programme begins again, it’s important to be symptom aware. The three main symptoms of bowel cancer are blood in the stools (faeces), a change in bowel habit, such as more frequent, looser stools, and abdominal (tummy) pain. However, these symptoms are very common. These are usually caused by something other than cancer but it’s important to have them checked by contacting your GP.

Scottish Bowel Screening Programme

Don’t take the risk, take the test.

The Scottish national bowel screening programme offers bowel screening to all men and women aged between 50 and 74 years. The aim of the programme is to save lives from bowel cancer by picking up these cancers at an early stage (before they have started to cause any symptoms.) Treatment of early bowel cancers can be successful in 90 per cent of cases.

If you are aged 50 to 74 you will be sent a test kit to your home to complete and return to the national Bowel Screening Centre in Dundee for testing. Where the test shows that there is blood present in the bowel motions (poo), further tests are required to find the reason for the presence of the blood. Blood can be present in the motions for many reasons other than bowel cancer. The important thing is to carry out further investigations to find out the reason for the blood and start any treatment as soon as possible.

Facts About Bowel Cancer

  • Bowel cancer (otherwise known as colorectal cancer) is a major public health problem in Scotland
  • Bowel cancer is the third most common cancer in Scotland
  • Around 4,000 people in Scotland get bowel cancer every year
  • It is most common in people aged over 50 years

Look Out For Bowel Cancer Symptoms

For most people, a normal screening test result means no evidence of bowel cancer. However, no screening test is not 100 per cent effective. This is mainly because the test is looking for traces of blood in the bowel motions and bowel cancers may not bleed all of the time. This means a cancer can sometimes be missed by the screening test. So even if you have a normal screening result, always be aware and never ignore bowel cancer symptoms.

Changes in the bowel can also occur between screening tests, so it is important you repeat the screening test every two years and never ignore bowel symptoms. You should always be on the look-out for possible changes in your bowel habits. If you notice symptoms in between screening tests, please go to your GP.

Signs And Symptoms Of Bowel Cancer

  • Repeated bleeding from your bottom or blood in your poo
  • A recent change in your bowel habit (how often you go to the toilet) that continues for more than four weeks without going back to normal
  • Watery poo on its own or with constipation (constipation on its own is less likely to be serious)
  • Severe pain in your tummy that won’t go away, especially after eating
  • You’ve recently lost weight without trying
  • You feel tired all the time

If you experience any of these symptoms, contact your GP. These are usually caused by something other than cancer but it’s important to have them checked.

 

How To Reduce The Chances Of Bowel Cancer

Most people suffer from problems with their bowels at times. Sometimes a change in diet can be all that is needed (especially if you are constipated).

As well as doing your bowel screening test you can reduce your risk of developing bowel cancer by:

  • Eating a healthy diet containing wholegrains like wholegrain bread and cereals, beans, pulses and plenty of fruit and vegetables
  • Limiting foods high in sugar or fat, and avoiding sugary drinks
  • Avoiding processed meat like bacon and sausages and limiting red meat
  • Getting to and keeping to a healthy weight – avoid gaining weight and try losing weight if overweight
  • Being more active in everyday life, this includes walking more and sitting less
  • Drinking less alcohol – not drinking alcohol is better for cancer prevention
  • Stopping smoking
  • Telling your GP if you’ve any worries about your bowel habits

 

Frequently Asked Questions

1. What is bowel screening?
A national programme where all men and women aged 50-74 are sent a test kit to their home to complete and return to the national Bowel Screening Centre in Dundee for testing.

Bowel screening is a quick and easy way to identify people who may be at risk of bowel cancer as the screening test looks for any traces of blood in the bowel motions (poo). If blood is present, this can be a sign that the individual has bowel cancer although it is important to note that blood in the motions may be due to many causes other than bowel cancer.

2. Do you need to take part in screening if you don’t have any bowel symptoms?
Yes, definitely. The benefit of bowel screening is that it can pick up early cancers before they cause symptoms. Taking part in bowel screening is the best way to protect yourself against bowel cancer.

3. How will I receive my screening kit?
It will be posted to you every two years on or around the time of your birthday.

4. How do you do the test?
The new bowel screening test kit includes:

  • a small tube test to collect your poo sample
  • instructions to help you complete the test
  • a pre-paid envelope

A step by step video can be found on the NHS Inform website.

5. What happens next?
The Bowel Screening Centre will send you the result within two weeks. Most people will have a ‘negative’ or normal result, which means that no blood was found in the samples you gave. However, be alert: Even if you have a negative result, you should never ignore bowel symptoms. It is also important you take part in bowel screening again in two years time.

6. What if my bowel motion does have traces of blood?
You will be contacted by a health professional and the next stage of tests will then be explained to you. Colonoscopy (an examination of the bowel with a very fine and flexible tube with an in-built camera) is the most effective way to find bowel cancer. You will need an out-patient appointment for this.

However, don’t panic.

Around 10 out of every 500 people tested using the screening kit will have traces of blood found in their bowel motions.
Of these 10 people, around five will get the ‘’all clear’’ with further tests, four will have polyps (polyps are bits of extra tissue which grow inside the lining of the bowel but which generally do not cause harm), and one person will have bowel cancer.

7. Do you just take part in bowel screening once?
No. Screening is not a one off test and it is important people continue to take part in bowel screening while they are eligible to get greatest benefit.

8. If you missed your last test what should you do?
You can also ask for a replacement test kit by contacting the Scottish Bowel Screening Centre:

If you can’t reach a member of staff by phone, you can still order a test kit using the automated service (available 24 hours a day, 7 days a week, 365 days a year).
When asking for a kit, please give your:

  • name
  • date of birth
  • address
  • contact details
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