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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