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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
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Cancer
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Bowel screening
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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
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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
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Bowel screening
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FOBt with normal result
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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
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Bowel screening
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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 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
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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 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
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Bowel screening
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Diagnosed with cancer
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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
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Bowel screening
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Diagnosed with polyps
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Interview 24
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The Faecal Occult Blood test detects hidden blood in a person's motion. Blood in the motion indicates that another test is needed, such as a colonosco
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
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Bowel screening
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Diagnosed with polyps
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Interview 37
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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
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Bowel screening
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FOBt with normal result
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Interview 12
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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
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Bowel screening
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FOBt unclear, then normal
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Interview 08
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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
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Bowel screening
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Diagnosed with polyps
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Interview 33
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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
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Bowel screening
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Diagnosed with polyps
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Interview 24
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On the morning of the colonoscopy he gave himself an enema to really clear his bowel of faeces.
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
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Bowel screening
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Colonoscopy, all normal
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Interview 38
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After she had taken the laxatives her husband helped her with her enema. It helped to wash out the remaining faeces from her bowel.
Invited to be screened for bowel cancer 3 times, between 2002 and 2006. The last Faecal Occult Blood (FOB) test result was abnormal so she had a colonoscopy, but nothing abnormal was found in the bowel.
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