Fast track referral for suspected lower GI cancer

I have got my referral to see a member of the Gastro team, I’m just really anxious waiting for tests! 
I’ve had pr bleeding for a few months put it down to my Diverticular Disease, or Piles. To cut a long story down, saw a nurse at my local surgery recently and I told her about bleeding and the amounts of blood. Had some blood tests which showed might be anemic and I had an abnormal fit test. Now I’m stressing out. 
I had bowel surgery in 2020 for the DD! 

  • I forgot to say I’m 51 years old, I have to take laxido because I suffer with constipation as I’m on so much medication for spinal stenosis and I also have Psoriatic Arthritis which is an autoimmune illness. I’m waiting for surgery for a haematoma and I also need a knee replacement!! I have to inject chemo (methotrexate) every week and Humira every other week for my PsA. 
    I don’t know why I’m having to see the gastrointestinal first instead of going straight for a colonoscopy! Did most people who had to have a colonoscopy see a specialist first or go straight for colonoscopy? 

  • Hi Redgoose, and thank you for both your posts.

    I am sorry to learn of your situation it sounds like you have a lot going on with your health.

    It is good that you are having tests to check why you are bleeding but I can appreciate this must be a very anxious and stressful time for you. It is important to know the symptoms you are having don't mean these are being caused by cancer. Most people with an abnormal FIT test will be referred to the hospital for tests such as a colonoscopy or CT scan depending on their situation. 

    Although the doctor is ruling out cancer, rectal bleeding can be caused by several things such as haemorrhoids, polyps and diverticular disease which they will also be looking for. 

    When the hospital receives the GP referral, the referrals are usually looked at first and triaged to see whether somebody is suitable to go straight to colonoscopy or if they need to see a doctor first (outpatients appointment). There are various reasons why you may see a doctor first. For example, if a person is having rectal bleeding the doctor may want to examine the rectum first, before deciding which test is best. Or if they have existing health conditions or poor mobility the doctor may want to see the person first to check they would manage a colonoscopy.

    Many people waiting for tests can feel worried and stressed at this time. It can be helpful to talk things through with family or friends. For some people, it helps to be distracted by keeping themselves busy.

    I hope you do not have to wait too long before you have your test and results. In the meantime, you may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Take care,

    All the best

    Jemma