Bowel screening, colonoscopy etc

I have just "failed" standard mass screening test (last one I would be eligible for at 74 i think) and have been offered a screening appointment and then probably a colonoscopy.

My previous colonoscopy was 4.5 years ago and "normal", not even any polyps. I do not score against any risk factors, except radiotherapy of the prostate 2 years ago, which seems to have gone well other than for late effects to my bowel movements. This makes for symptoms which could be bowel cancer. 

I am undecided about undergoing investigations. I would be unlikely to accept any treatment, but should I KNOW and adjust my life accordingly? 

Letter re "screening practitioner appointment" received at a weekend immediately before I go on holiday and I will not be in UK on date I have been given. I shall try to phone from overseas ASAP, but what shall I say?

Sorry, bit rambling, but it was unexpected and bad timing and has upset me more than prostate cancer diagnosis did.

Any and all comments, kind or harsh, welcome.

Thanks, dj.

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  • I definitely think you should get the test. The odds are high that this is nothing serious at all and apart from anything else, if it is a pre-cancerous polyp, it's very likely they will just remove it during the colonoscopy whereas if you don't get the colonoscopy, there is a chance it could become cancerous. So it's not to just know and adjust your lifestyle. There's also a possibility that it alone, without any further treatment, could prevent you from getting cancer.

    Plus, in the more likely scenario that it is something like hemorrhoids or a fissure, it will be reassuring. If you don't get the test done, you'll be worrying, "what if it is cancer?" or "what if it was a pre-cancerous polyp and I am going to develop cancer," whereas if you know it's just a hemorrhoid, you don't have to worry any more.

    I see absolutely no reason not to get it done and there are some cases in which having it done could literally save your life.

    I'd say the odds are against bowel cancer, especially if you had no polyps 4 or 5 years ago, though of course anything is possible, but if there are polyps, you probably want them removed. And of course, if it is something like diverticulitis or IBD, you might benefit from treatment.

  • As regards being abroad, I'd just phone straight away and tell them you are abroad on that date and would it be possible to reschedule?

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