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Change in bowel habit - NICE urgent cancer referral guidance

Authoring team

Change in bowel habit

Symptom and Specific Features

Possible Cancer

Recommendation

Change in bowel habit (unexplained), 60 and over)

Colorectal

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks)

 

Symptom and Specific Features

Possible Cancer

Recommendation

Change in bowel habit (unexplained) with rectal bleeding, in adults under 50

Colorectal

Consider a suspected cancer pathway referral (for an appointment within 2 weeks)

 

Symptom and Specific Features

Possible Cancer

Recommendation

Change in bowel habit without rectal bleeding, under 60

Colorectal

Offer testing for occult blood in faeces (faecal immunochemical testing)

 

Symptom and Specific Features

Possible Cancer

Recommendation

Change in bowel habit. (unexplained) in women

Ovarian

Measure serum CA125 in primary care

 

 

Symptom and Specific Features

Possible Cancer

Recommendation

Diarrhoea or constipation with weight loss, 60 and over

Pancreatic

Consider an urgent direct access CT scan (to be performed within 2 weeks), or an urgent ultrasound scan if CT is not available

 

Symptom and Specific Features

Possible Cancer

Recommendation

Irritable bowel syndrome symptoms within the last 12 months, in women 50 and over

Ovarian

Measure Ca-125

 

Reference:


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