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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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Diagnosed with polyps
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Interview 20
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He had no problem drinking the medicines to empty his bowel.
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
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Bowel screening
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Interview 47
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Andrea Giles, specialist screening practitioner, explains how people must prepare for a colonoscopy.
No information given.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 26
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The laxatives were not a big problem, and tasted no worse than the other medicines he takes, but he was still going to the loo at 1am.
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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She thought the laxatives tasted 'sweet'. The third dose gave her watery diarrhoea over several hours, sometimes without warning.
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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FOBt with normal result
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Interview 02
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The laxative she took to prepare for the colonoscopy was sweet and made her feel sick.
Screened in 2001, when aged 58. Faecal Occult Blood (FOB) test result normal. In 2003 had bowel problems, consulted her GP, who referred her to a consultant. She had a colonoscopy, with a normal result.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 44
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The first dose of laxatives was not too bad but the second made him sick as well as giving him diarrhoea.
He had a Faecal Occult Blood (FOB) test in 2001. The result was abnormal so he had a colonoscopy. Cancer was diagnosed, so later he had part of his bowel removed, followed by chemotherapy. He feels well now.
Cancer
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Bowel screening
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Diagnosed with cancer
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Interview 46
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The laxatives tasted like dirty salty water and made her feel sick. They took about half an hour to start working.
Invited to be screened for bowel cancer in 2006. The result of the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, when five polyps were removed. One polyp was cancerous, so she had a left hemi-colectomy.
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 added orange squash to take away the taste, but the medicine still didn't taste nice. It gave him watery diarrhoea, but no stomach pains.
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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Diagnosed with cancer
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Interview 15
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He found the bowel preparation difficult because his double doses of laxative caused pain as well as diarrhoea.
In 2001, aged 64, he was screened for bowel cancer. The result of the Faecal Occult Blood (FOB) test was abnormal. After a colonoscopy he was diagnosed with cancer and had surgery.
Cancer
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Bowel screening
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Diagnosed with polyps
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Interview 31
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The information sheet advised people to talk to the GP about reducing or discontinuing drugs such as aspirin or warfarin before the colonoscopy.
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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Diagnosed with cancer
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Interview 46
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She was given an enema on the day of the operation to prepare the bowel for surgery.
Invited to be screened for bowel cancer in 2006. The result of the Faecal Occult Blood (FOB) test was abnormal, so she had a colonoscopy, when five polyps were removed. One polyp was cancerous, so she had a left hemi-colectomy.
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