Bowel screening

My paternal grandfather died of bowel cancer in the 1950s, aged in his 50s. My father died of liver cancer in the 1970s, aged 54, but genetic screening indicated he may also have carried a gene linked to bowel cancer, and my older brother died of bowel cancer 30 years ago aged 45. Both my father and  brother were heavy smokers and heavy drinkers.  I have never smoked nor drink alcohol. 

I am male, now 62 and had regular colonoscopies from 1995 to 2019. They were always negative, no polyps being found at any stage.  Before the last test in 2019, the senior colorectal professor  who carried out the test told me that he was confident that he would not find anything of concern, given the previous results, which turned out to be the case. 


Last year I contacted the hospital (in Glasgow)  to enquire about the need for a further screening  colonoscopy. I was advised that given the sensitivity of the modern FIT tests, screening was no longer carried out in the first instance in situations like mine.  I had an FIT test 6 months ago which was negative and  I continue to have no concerns about bowel issues.  I remain very vigilant about bowel issues. 

My question is, was the advice I received correct? Given my long history of ‘negatiive’ colonoscopies,  and a recent negative FIT test, are 5 year screening colonoscopies no longer required?  

Thank you. 

  • Hello, and thank you for posting,

    I am afraid that, as Cancer Information Nurses, we cannot provide a medical opinion, as we are not involved in your care. If you are seeking a second medical opinion, it may be worth speaking with your GP; this may be something they can arrange.

    It is important, as you say, to continue with the Scottish Bowel Screening Programme every two years. No test is 100% accurate, but the FIT (Faecal Immunochemical Test) is very sensitive in picking up any hidden blood in poo (97% accurate). If blood is found, then a colonoscopy will be offered to rule out cancer or any other bowel diseases.

    In the meantime, it is important to remain vigilant for any new symptoms related to your bowels that you may be experiencing and speak with your doctor.

    I hope this helps in some way. Please feel free to get back to us if you need to.

    Jemma