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How to use the bowel cancer screening FIT kit | NHS

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What is a bowel cancer screening test kit?

A bowel cancer screening test kit, also known as a fecal occult blood test (FOBT) or fecal immunochemical test (FIT), is a simple at-home test designed to detect hidden blood in the stool, which can be an early sign of bowel cancer or other bowel conditions.

Here's how a typical bowel cancer screening test kit works:

  1. Kit Contents: The kit usually contains everything needed to collect a small sample of stool at home. This may include a collection stick or brush, a sample collection tube or card, and instructions for use.
  2. Sample Collection: The individual collects a small sample of their stool using the collection stick or brush provided in the kit. The sample is usually obtained by wiping the stick or brush across the surface of the stool.
  3. Sample Application: The collected stool sample is then applied to a specific area on the sample collection tube or card, following the instructions provided in the kit. This may involve transferring the sample onto a designated section of the card or inserting the stick or brush into the collection tube.
  4. Return: Once the sample has been collected and applied to the collection device, the individual typically returns the completed kit by mail or to a designated drop-off location, as instructed in the kit.
  5. Laboratory Analysis: The collected stool sample is then analyzed in a laboratory to detect the presence of blood. In some cases, newer tests such as fecal immunochemical tests (FIT) may be used, which specifically detect human blood proteins, providing more accurate results.
  6. Results: After analysis, the individual will receive the results of the screening test. A negative result indicates that no blood was detected in the stool sample, while a positive result suggests the presence of blood and may warrant further investigation, such as additional diagnostic tests or a follow-up colonoscopy.

Bowel cancer screening test kits are recommended as part of national bowel cancer screening programs in many countries, including the UK, Australia, and several European countries. These programs aim to detect bowel cancer at an early stage when it is more treatable and may offer screening to eligible individuals within certain age groups. It's important for individuals to participate in bowel cancer screening programs as recommended by their healthcare providers to help detect bowel cancer early and improve treatment outcomes.

 


 

How to Use the Bowel Cancer Screening FIT Kit | NHS

Understanding the FIT Kit

The Fecal Immunochemical Test (FIT) is a simple and effective way to screen for bowel cancer. It is offered free by the NHS to individuals between the ages of 60 and 74 in the UK. The test is designed to detect tiny amounts of blood in your stool which could indicate the early stages of bowel cancer or other conditions.

Receiving Your FIT Kit

You will receive your FIT kit by post. The kit includes a sample bottle, instructions, and a prepaid return envelope. Make sure you carefully read the provided instructions before starting the test. It’s crucial to complete the test and return it promptly to ensure timely results.

Collecting Your Stool Sample

1. **Prepare for Sample Collection**: Make sure you have everything you need close by, including the sample bottle and paper to catch the stool. 2. **Catch the Stool**: Use the paper provided to catch your stool before it touches the water in the toilet. This will make collecting the sample easier and ensures it remains uncontaminated. 3. **Collect the Sample**: Open the sample bottle and use the stick attached to its cap to take small samples from different parts of the stool. Insert the stick back into the bottle and close it tightly.

Returning the FIT Kit

Place the completed sample bottle into the prepaid envelope and seal it securely. Post it as soon as possible, ideally on the same day. The NHS will analyze your sample and send you the results within a few weeks.

Interpreting Your Results

The results will either show no signs of blood or indicate the presence of blood. If blood is detected, it doesn’t necessarily mean you have cancer, but further tests will be required. You will be contacted for a follow-up appointment to discuss the next steps.

Why Regular Screening Matters

Bowel cancer screening using the FIT kit can detect problems at an early stage before symptoms develop, making treatment more effective. Regular screening is crucial for early diagnosis and greatly improves the chances of successful treatment. Make sure to participate in regular screening and encourage others to do the same. By following these steps, you can effectively use the FIT kit and contribute to your health and wellbeing. If you have any questions, don’t hesitate to contact your GP or the NHS Bowel Cancer Screening Helpline.

Frequently Asked Questions

What is the FIT kit used for?

The FIT kit is used for bowel cancer screening. It detects small amounts of blood in your stool that may indicate the presence of abnormal growths or cancer.

How do I get a FIT kit?

You will receive a FIT kit through the post if you are eligible for bowel cancer screening. The NHS sends these kits to individuals aged 60-74 every two years.

What should I do if I didn't receive my FIT kit?

If you have not received your FIT kit, you can call the bowel cancer screening helpline at 0800 707 60 60 to request a new one.

Can I get a FIT kit if I am under 60 years old?

FIT kits are generally sent to individuals aged 60-74. If you are under 60 and experiencing symptoms or have a higher risk, consult your GP to discuss your options.

How do I use the FIT kit?

Follow the instructions provided in the kit. It involves collecting a small stool sample using the provided stick and returning it in the supplied container for testing.

How do I collect a stool sample?

Use the collection paper provided to catch your stool, then use the stick provided in the FIT kit to collect a small sample. Place the sample in the sample container and seal it.

Do I need any special preparation before using the FIT kit?

No special preparation is needed. You can eat and drink normally before collecting your stool sample.

How soon should I return the sample?

It’s best to return the sample as soon as possible after collection. Use the pre-paid envelope provided to send it to the laboratory.

Will I receive results from the FIT test?

Yes, you will receive your results by post within two weeks of sending your sample. Results will indicate whether further investigation is needed.

What do the FIT test results mean?

A 'normal' result means no blood was detected. An 'abnormal' result indicates blood was found, and further tests might be necessary to determine the cause.

What should I do if my test result is abnormal?

If your result is abnormal, you will be contacted by a specialist screening practitioner to discuss further tests, such as a colonoscopy.

Can I use the FIT kit if I have hemorrhoids?

Yes, you can still use the FIT kit. However, if you are bleeding heavily from hemorrhoids, it might affect the result. Contact the screening helpline for advice.

Are there any side effects of using the FIT kit?

There are no side effects of using the FIT kit. It is a simple, non-invasive test to collect a stool sample.

Is the FIT kit free of charge?

Yes, the FIT kit provided by the NHS is free for eligible individuals as part of the bowel cancer screening programme.

What should I do if I lose the FIT kit instructions?

If you lose the instructions, you can contact the bowel cancer screening helpline at 0800 707 60 60 for guidance or access the instructions online on the NHS website.

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