Diagnosis & Testing

With abdominal cramps, fatigue and anaemia commonly experienced by many females during their menstrual periods, it can be easy to mistake these symptoms for their monthly visitor instead of colorectal cancer; even if the cramps were to be severe, the possibility of a gynaecological issue like endometriosis may be the first thing that comes to mind. It is recommended that women seek medical advice should they experience persistent abdominal symptoms that do not follow the same cyclical pattern as menstrual periods.

Screening for colorectal conditions is recommended if:

• You have symptoms such as blood in the stools, change in bowel habits, abdominal pain or bloating or unexplained loss of weight
• You have no symptoms but are above 50 years old, when there is a higher risk of colorectal cancer
• You have no symptoms but have a family history of colorectal cancer or familial adenomatous polyposis coli (FAP)
• You have a personal history of colorectal polyps or inflammatory bowel disease

Colorectal screening starts with bowel preparation where the colon is cleansed to allow the surgeon a clear view of the entire length of your colon; you will be asked to take laxatives and empty your bowels prior to the procedure. Sedation is given before the procedure starts so the patient does not feel any discomfort during the procedure.

This usually takes about 30-45 minutes to complete, depending on whether any polyp removal is required. You will then be observed in a recovery room until the effects of the anaesthesia wear off, and can be discharged one hour after the completion of the scope.