CT colonoscopy in two weeks time even though colonoscopy normal in Dec 2022?

Just wondering whether I should be concerned given that I have already had a normal colonoscopy (with biopsies) in December 2022 but since in February this year.

FIT result was 27 in October 2022 and was referred to colorectal. Had a colonoscopy in December 2022 with biopsies which were all normal. 

Since I’ve had quite extreme weight loss (26 kg), increase blood in stools and still abdominal pain and change in bowel habits. Also very tired. My GP wrote to my colorectal consultant and she said I need to have a CT colonoscopy in two weeks time. 

Just wondering why if my previous colonoscopy was normal? Does this not mean cancer is ruled out? 

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  • I'm no expert, obviously, but CT colonoscopies aren't just tests for cancer. I am guessing they want to find out what is going on. While it is unlikely (though I think it might be possible) that a colonoscopy would miss cancer (it's not at all like a negative FIT test which is only testing for blood in the stool, whereas a colonoscopy is the gold standard), I guess it is possible a polyp might have started developing or that something like diverticulitis or Crohns or ulcerative colitis could have developed in the meantime. I don't know much about any of those things but I assume it's likely that some of them could develop within a year.

    Basically, they are trying to find the cause of your bowel problems, whatever that cause may be. 

  • You are right - they are checking for the other organs in the abdomen due to the worsening and new symptoms. Unintentional weight loss seems to be the main concern and I have an ovarian mass which they aren’t sure what it consists of. They are also double checking the bowel in case a small polyp or other conditions were missed/not active at the time of the colonoscopy. I hope you are ok and I appreciate your reply!

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  • You are right - they are checking for the other organs in the abdomen due to the worsening and new symptoms. Unintentional weight loss seems to be the main concern and I have an ovarian mass which they aren’t sure what it consists of. They are also double checking the bowel in case a small polyp or other conditions were missed/not active at the time of the colonoscopy. I hope you are ok and I appreciate your reply!

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