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The Faecal Occult Blood test for bowel cancer :
What is the NHS bowel cancer screening programme?
The pilot and the programme since then
Initial reaction to the invitation for screening
People's views of the initial information leaflet
Why people decide to take part in screening
Why some were reluctant or did not take part
The instructions for using the FOBt kit
Doing the Faecal Occult Blood test at home
Storing the samples and posting them
Getting a 'normal' result of a FOBt by post
Getting an 'unclear' or 'abnormal' result by post
When a screening test is abnormal :
Talking to specialist practitioners about results
Preparing for a colonoscopy
The colonoscopy procedure and treatment
Side effects of colonoscopy
Getting colonoscopy results
More treatment needed after an initial colonoscopy :
More treatment needed after an initial colonoscopy
Views of the service and messages to others :
Views of the service and messages to others
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Bowel screening
Subject index
Topic
Cancer
>>
Bowel screening
>>
Doing the Faecal Occult Blood test at home
>>
Doing the Faecal Occult Blood test at home
Doing the Faecal Occult Blood test at home
Cancer
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Bowel screening
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Doing the Faecal Occult Blood test at home
>>
Doing the Faecal Occult Blood test at home
Doing the Faecal Occult Blood test at home
Cancer
>>
Bowel screening
>>
What is the NHS bowel cancer screening programme?
>>
What is the NHS bowel cancer screening programme?
What is the NHS bowel cancer screening programme?
Cancer
>>
Bowel screening
>>
The pilot and the programme since then
>>
The pilot and the programme since then
The pilot and the programme since then
Cancer
>>
Bowel screening
>>
The instructions for using the FOBt kit
>>
The instructions for using the FOBt kit
The instructions for using the FOBt kit
Cancer
>>
Bowel screening
>>
Storing the samples and posting them
>>
Storing the samples and posting them
Storing the samples and posting them
Cancer
>>
Bowel screening
>>
Views of the service and messages to others
>>
Views of the service and messages to others
Views of the service and messages to others
Clip
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 28
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She said she was completely devastated when the test result came through.
She asked if she could be screened for bowel cancer. The result of a Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, during which two benign polyps were removed.
Cancer
>>
Bowel screening
>>
FOBt with normal result
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Interview 09
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She had a normal result in 2002 and 2004. She felt a sense of relief.
She was invited to be screened for bowel cancer in 2002 and in 2004. The results of both the Faecal Occult Blood (FOB) tests were normal.
Cancer
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Bowel screening
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FOBt with normal result
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Interview 13
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The Faecal Occult Blood test (FOBt) kit instructions were very clear.
When she was first invited to be screened for bowel cancer she declined, but later, in 2006, when aged 58, she decided to do the Faecal Occult Blood (FOB) test. The result was normal.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
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Interview 30
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He used masking tape to fix toilet paper across the rear half of the pan to catch his motion.
Screened for bowel cancer in 2006. The result was abnormal, so he had a colonoscopy. Six polyps were removed. They were all benign except one, which was "potentially malignant". He will have another colonoscopy in 2007.
Cancer
>>
Bowel screening
>>
FOBt with normal result
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Interview 10
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She got some rubber gloves from the chemist before doing the test.
Invited to be screened for bowel cancer in 2005 when aged 62. The result of the Faecal Occult Blood (FOB) test was normal.
Cancer
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Bowel screening
>>
FOBt unclear, then normal
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Interview 04
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She caught her motion with toilet paper and then with the cardboard stick spread samples onto the card.
Screened in 2002, when aged 63, Faecal Occult Blood (FOB) test normal. Screened again in 2005, the result was unclear, so the test was repeated twice, with normal results.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 01
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He held some toilet paper underneath his bottom in order to catch his motion.
Invited for screening in 2001 when aged 62. The first Faecal Occult Blood (FOB) test suggested there might be a problem, so test repeated. He had a colonoscopy, was diagnosed with bowel cancer, had surgery and a temporary ileostomy.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 42
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She didn't mind getting the unclear or abnormal results by post.
In 2006 her Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy. Three small polyps were removed. She had a right hemi-colectomy to remove a larger polyp, which was not malignant.
Cancer
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Bowel screening
>>
Diagnosed with polyps
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Interview 31
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A supermarket bag came in useful when he needed to catch some of his motion.
Invited to be screened for bowel cancer in 2006 when aged 68. The result of the Faecal Occult Blood (FOB) test was abnormal, so he had a colonoscopy, during which one benign polyp was removed.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
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Interview 32
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Doing the Faecal Occult Blood test was as easy as ABC.
He was invited to be screened for bowel cancer in 2006 when aged 65. The first Faecal Occult Blood (FOB) test was unclear so he repeated it. This was abnormal so he had a colonoscopy. Two benign polyps were removed.
Cancer
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Bowel screening
>>
Diagnosed with polyps
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Interview 22
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He smeared two samples of a stool onto the test card on three different occasions.
Invited for screening in 2006, aged 64. The result of the Faecal Occult Blood (FOB) test was unclear so he repeated the test, which was abnormal. He had a colonoscopy, and a non-malignant polyp was removed.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 05
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Thinks that receiving results through the post is 'as good a way as any'.
Invited to be screened in 2001, when aged 62, and again in 2005, when aged 66. The results of the Faecal Occult Blood (FOB) tests were both normal.
Cancer
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Bowel screening
>>
Diagnosed with cancer
>>
Interview 45
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Because “kitchen roll” was stronger than toilet paper she used that to catch her motion.
When screened for bowel cancer in 2005, the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy. Two polyps were removed. One was found to be malignant (cancerous). Now she is well.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 27
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She sighed with relief when she read that her result was normal.
Invited to be screened for bowel cancer three times, between 2000 and 2005. The result of the Faecal Occult Blood (FOB) test has been normal each time.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 36
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Suggests that you read the instructions before opening the test kit.
Screened for bowel cancer in 2006, when aged 70. The result of the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, during which some benign polyps were removed.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 07
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She used a margarine container to catch her motion.
Was invited to be screened for bowel cancer in 2001, when aged 67. The result of the Faecal Occult Blood (FOB) test was normal.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
>>
Interview 26
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His wife helped him with the test because he couldn't face dealing with his motion. Handling his faeces nauseated him.
Screened in 2006, when aged 66. The result of the Faecal Occult Blood (FOB) test was unclear. The next test was abnormal. A colonoscopy showed there were some benign polyps, which were removed.
Cancer
>>
Bowel screening
>>
Interview 47
>>
Andrea Giles, specialist screening practitioner, talks about the Faecal Occult Blood test.
No information given.
Cancer
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Bowel screening
>>
Diagnosed with cancer
>>
Interview 45
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She felt frightened when another test result came back 'abnormal'.
When screened for bowel cancer in 2005, the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy. Two polyps were removed. One was found to be malignant (cancerous). Now she is well.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
>>
Interview 20
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Shows the type of test card he used and explains that you must not open the back of it.
Invited for screening in 2001. The result of his Faecal Occult Blood (FOB) test was abnormal. He had a colonoscopy and polypectomy. Subsequent colonoscopies have all been normal.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
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Interview 24
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Explains that if you had frequent bowel motions you could do the test on three different occasions on the same day.
Screened in 2001 and 2003. Results were normal. In 2005 he did another Faecal Occult Blood (FOB) test. The result was unclear. Another test was abnormal, so he had a colonoscopy, during which two polyps were removed. These were not malignant.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
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Interview 37
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Missing a day did not matter as long as stool samples were taken on three different occasions.
He was invited to be screened for bowel cancer in 2006, when aged 65. After an abnormal Faecal Occult Blood test he had a colonoscopy, during which two benign polyps were removed.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
>>
Interview 28
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She wrongly thought the samples from her bowel motion had to be put on the card on alternate days.
She asked if she could be screened for bowel cancer. The result of a Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, during which two benign polyps were removed.
Cancer
>>
Bowel screening
>>
FOBt unclear, then normal
>>
Interview 08
>>
She took part in the pilot programme. It required some dietary restrictions because it was thought that the results of the test might be affected by c
Screened in 2001, aged 65. The result of the Faecal Occult Blood (FOB) test was normal. The result of another test in 2004 was unclear, so she repeated it, after following a special diet. The result was normal.
Cancer
>>
Bowel screening
>>
Interview 47
>>
Andrea Giles, specialist screening practitioner, explains what it means to have a normal result.
No information given.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 12
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The letter with the list of symptoms influenced her and made her look at her motions more carefully.
Invited to be screened for bowel cancer in 2002 and 2005, when aged 65 and 69. The results of the Faecal Occult Blood (FOB) tests were normal.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
>>
Interview 37
>>
He put newspaper on the floor and toilet paper on top of that so that he could collect a sample to put on the test card.
He was invited to be screened for bowel cancer in 2006, when aged 65. After an abnormal Faecal Occult Blood test he had a colonoscopy, during which two benign polyps were removed.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 12
>>
The first time she tried to do the Faecal Occult Blood test it was a “disaster”, but next time she was more organised and managed it successfully.
Invited to be screened for bowel cancer in 2002 and 2005, when aged 65 and 69. The results of the Faecal Occult Blood (FOB) tests were normal.
Cancer
>>
Bowel screening
>>
FOBt unclear, then normal
>>
Interview 08
>>
The painful joints in her fingers and thumbs made it hard to hold the cardboard sticks to retrieve the samples, but she managed it.
Screened in 2001, aged 65. The result of the Faecal Occult Blood (FOB) test was normal. The result of another test in 2004 was unclear, so she repeated it, after following a special diet. The result was normal.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
>>
Interview 33
>>
He was worried because at times he was constipated. Having the Freephone help number reassured him.
He was invited to be screened for bowel cancer in 2006. The result of the Faecal Occult Blood (FOB) test was abnormal, so he had a colonoscopy, during which one benign polyp was removed.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 13
>>
Her husband's results took two days and hers arrived after three days. She was initially alarmed when she saw the envelopes because it was so quick.
When she was first invited to be screened for bowel cancer she declined, but later, in 2006, when aged 58, she decided to do the Faecal Occult Blood (FOB) test. The result was normal.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 05
>>
The letter with the results included a list of the symptoms of bowel cancer but it did not affect his behaviour.
Invited to be screened in 2001, when aged 62, and again in 2005, when aged 66. The results of the Faecal Occult Blood (FOB) tests were both normal.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 13
>>
The letter giving her the results reminded her to look out for symptoms of bowel cancer, such as blood in her motion.
When she was first invited to be screened for bowel cancer she declined, but later, in 2006, when aged 58, she decided to do the Faecal Occult Blood (FOB) test. The result was normal.
Cancer
>>
Bowel screening
>>
FOBt with normal result
>>
Interview 03
>>
The letter said that the result of his test was normal. Six months later he re-read the list of symptoms, realised that he was passing blood, and was
Screened in 2000, aged 64. Faecal Occult Blood test (FOB) test was normal, but later he noticed blood in his stools, was referred to a consultant, diagnosed with cancer, and treated with surgery.
Cancer
>>
Bowel screening
>>
Interview 47
>>
Andrea Giles, specialist screening practitioner, explains what it means to have an unclear or abnormal result.
No information given.
Cancer
>>
Bowel screening
>>
Diagnosed with cancer
>>
Interview 01
>>
He was more concerned about taking time off work than about what the abnormal test result meant for his health.
Invited for screening in 2001 when aged 62. The first Faecal Occult Blood (FOB) test suggested there might be a problem, so test repeated. He had a colonoscopy, was diagnosed with bowel cancer, had surgery and a temporary ileostomy.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
>>
Interview 22
>>
He felt 'fed up' when he had to repeat the test but thought that since he had started the screening process he ought to finish it.
Invited for screening in 2006, aged 64. The result of the Faecal Occult Blood (FOB) test was unclear so he repeated the test, which was abnormal. He had a colonoscopy, and a non-malignant polyp was removed.
Cancer
>>
Bowel screening
>>
Colonoscopy, all normal
>>
Interview 23
>>
He thought his abnormal FOB test result might be due to piles (haemorrhoids) bleeding from his gums, bleeding due to aspirin or perhaps a polyp.
Invited to be screened for bowel cancer in 2006, when aged 65. The result of the Faecal Occult Blood (FOB) test was abnormal so he had a colonoscopy. Nothing abnormal was found.
Cancer
>>
Bowel screening
>>
Diagnosed with cancer
>>
Interview 34
>>
His test results were abnormal so he assumed the worst and was keen to get on with further investigations.
Invited to be screened for bowel cancer in 2006, when aged 61. The result of the Faecal Occult Blood (FOB) test was abnormal, so he had a colonoscopy. One polyp was removed, which was found to be cancerous.
Cancer
>>
Bowel screening
>>
FOBt unclear, then normal
>>
Interview 04
>>
When she received an unclear result she felt anxious but at the same time was a bit reassured to read that an abnormal test result did not necessarily
Screened in 2002, when aged 63, Faecal Occult Blood (FOB) test normal. Screened again in 2005, the result was unclear, so the test was repeated twice, with normal results.
Cancer
>>
Bowel screening
>>
Diagnosed with polyps
>>
Interview 24
>>
His abnormal test result made him so agitated that he went to his GP, who was reassuring.
Screened in 2001 and 2003. Results were normal. In 2005 he did another Faecal Occult Blood (FOB) test. The result was unclear. Another test was abnormal, so he had a colonoscopy, during which two polyps were removed. These were not malignant.
Cancer
>>
Bowel screening
>>
Views of the service and messages to others
>>
Views of the service and messages to others
Views of the service and messages to others
Cancer
>>
Bowel screening
>>
The instructions for using the FOBt kit
>>
The instructions for using the FOBt kit
The instructions for using the FOBt kit
Cancer
>>
Bowel screening
>>
Doing the Faecal Occult Blood test at home
>>
Doing the Faecal Occult Blood test at home
Doing the Faecal Occult Blood test at home
Cancer
>>
Bowel screening
>>
Storing the samples and posting them
>>
Storing the samples and posting them
Storing the samples and posting them
Cancer
>>
Bowel screening
>>
Getting a 'normal' result of a FOBt by post
>>
Getting a 'normal' result of a FOBt by post
Getting a 'normal' result of a FOB test by post
Cancer
>>
Bowel screening
>>
Getting an 'unclear' or 'abnormal' result by post
>>
Getting an 'unclear' or 'abnormal' result by post
Getting an 'unclear' or 'abnormal' result by post
Cancer
>>
Bowel screening
>>
The instructions for using the FOBt kit
>>
The instructions for using the FOBt kit
The instructions for using the FOBt kit
Cancer
>>
Bowel screening
>>
Storing the samples and posting them
>>
Storing the samples and posting them
Storing the samples and posting them
Cancer
>>
Bowel screening
>>
Doing the Faecal Occult Blood test at home
>>
Doing the Faecal Occult Blood test at home
Doing the Faecal Occult Blood test at home
Cancer
>>
Bowel screening
>>
Side effects of colonoscopy
>>
Side effects of colonoscopy
Side effects of colonoscopy
Cancer
>>
Bowel screening
>>
Talking to specialist practitioners about results
>>
Talking to specialist practitioners about results
Talking to specialist practitioners about results
Cancer
>>
Bowel screening
>>
Preparing for a colonoscopy
>>
Preparing for a colonoscopy
Preparing for a colonoscopy
Cancer
>>
Bowel screening
>>
The colonoscopy procedure and treatment
>>
The colonoscopy procedure and treatment
The colonoscopy procedure and treatment
Cancer
>>
Bowel screening
>>
Getting an 'unclear' or 'abnormal' result by post
>>
Getting an 'unclear' or 'abnormal' result by post
Getting an 'unclear' or 'abnormal' result by post
Cancer
>>
Bowel screening
>>
Getting a 'normal' result of a FOBt by post
>>
Getting a 'normal' result of a FOBt by post
Getting a 'normal' result of a FOB test by post
Cancer
>>
Bowel screening
>>
Talking to specialist practitioners about results
>>
Talking to specialist practitioners about results
Talking to specialist practitioners about results
Cancer
>>
Bowel screening
>>
The colonoscopy procedure and treatment
>>
The colonoscopy procedure and treatment
The colonoscopy procedure and treatment
Cancer
>>
Bowel screening
>>
Preparing for a colonoscopy
>>
Preparing for a colonoscopy
Preparing for a colonoscopy
Cancer
>>
Bowel screening
>>
Side effects of colonoscopy
>>
Side effects of colonoscopy
Side effects of colonoscopy
Cancer
>>
Bowel screening
>>
Side effects of colonoscopy
>>
Side effects of colonoscopy
Side effects of colonoscopy
Cancer
>>
Bowel screening
>>
Getting colonoscopy results
>>
Getting colonoscopy results
Getting colonoscopy results
Cancer
>>
Bowel screening
>>
More treatment needed after an initial colonoscopy
>>
More treatment needed after an initial colonoscopy
More treatment needed after an initial colonoscopy
Cancer
>>
Bowel screening
>>
Preparing for a colonoscopy
>>
Preparing for a colonoscopy
Preparing for a colonoscopy
Cancer
>>
Bowel screening
>>
The colonoscopy procedure and treatment
>>
The colonoscopy procedure and treatment
The colonoscopy procedure and treatment
Cancer
>>
Bowel screening
>>
Talking to specialist practitioners about results
>>
Talking to specialist practitioners about results
Talking to specialist practitioners about results
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