Family history of bowel cancer and early screening

My dad was diagnosed with bowel cancer in October that had been initially missed in check-ups following a previous (unrelated) cancer. He died two weeks ago.

His dad, my grandfather, also died of bowel cancer. Both were in their 70s when they were diagnosed and died. There is no knowncondition like FAP or Lynch syndrome in the family. 

I am 46 and hoping for some insight into what additional screening might be available to me either now when I turn 50. My three siblings have all been offered a colonscopy but they are either over 50 or have had a positive FIT test. 

I am not overly anxious about bowel cancer as I know it is mostly not hereditary, and neither my father or grandfather were diagnosed at a young age. However, I have had colorectal symptoms for a long time that so far have been attributable to IBS. My only concern is that any malignant changes in my bowel might not be as noticeable since I already have longstanding bowel problems.

I've read Bowel Cancer UK's information on screening and family history but it's not clear to me whether I would be eligible for a colonoscopy before I turn 55. I have never had a colonoscopy. 

Thank you in advance. 

  • Hello and thank you for your post,

    I am sorry to hear that your dad died of bowel cancer and that it has also affected other family members. Although there is no inherited gene or family syndrome (FAP or Lynch syndrome) in the family you are aware of you are understandably worried about your risk.

    To know if you can have additional bowel screening if you have not done so already talk to your GP about your family history of bowel cancer, and that your siblings are getting this done. Your GP may be able to refer you to a bowel cancer specialist or cancer genetic team to see if you would be entitled to be screened.

    We have information about bowel cancer screening for people at a higher risk on our website, it might be helpful to read.

    Please get back to us if you need any more information or support.  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

    Caroline