Hi everyone, this is my first time posting here and hope someone can help as I am pretty shocked at the moment. My elderly father, 92, has had bowel problems for a while, and his gp asked him to give a stool sample a week or so ago. The gp phoned my sister today and told her that the sample tested positive for bowel cancer, and was quite definite about it. He spoke about a marker of 27, the normal being 10 or less. I had treatment for breast cancer last year, but I don’t know much about bowel cancer. My main question is: is it usual to be so definite about the diagnosis solely on the results of the stool sample and symptoms? He is quite frail, and I don’t know if he could tolerate treatment. I feel pretty devastated at the moment and would appreciate any advice at all. Many thanks.
Hi Debdaw, fully understand how you feel, but I really don't think it is possible for the GP to give a definite diagnosis at this stage from what you have said. I have NO medical qualifications, but it sounds like the test that was done on the stool sample was a FIT (Faecal Immunochemical Test) which tests for blood in the sample. This is a screening test, not a definitive cancer test, as it ONLY indicates if there is a certain level of blood in the sample or not. Blood in the sample can be caused by cancer, but also by piles for example. Your GP cannot give a diagnosis from that alone, although based on other symptoms, he may be able to give a likely diagnosis, which needs confirmed by other tests. We were in the opposite position at the beginning of the year, as the FIT test my husband did came back as normal and it was many months later than he was diagnosed based on his symptoms and further tests. His tumour was simply not bleeding at the time he did the FIT. It took a digital examination by the GP, followed by a referral to a consultant, then CT scan, MRI scan and colonoscopy with biopsy to get a definite diagnosis of his rectal cancer. Obviously, I don't know what other symptoms your father has, but keep in mind that bowel cancer is very treatable and treatment varies depending on a large variety of factors. Nowadays, many operations can be done with minimum invasion, giving a much shorter recovery time. The important thing now, is that you know what the next steps are in the diagnostic process and how long that is going to take. I hope its not bowel cancer, but you can get advice and support on this forum at any time.
Hi Debdaw
This must be a shock for you it’s my belief that a stool sample isn’t a complete diagnosis of cancer. Many many FIT tests that show blood are piles, IBS or diverticulosis which is what my husband had with polyps
Others may come along that know more about it.
I had a colonoscopy then endoscopy with ultrasound, photos and measurements the doctor said that I was fit and they would throw everything at me, if I was frail they would just clear my tumour from the surface.
So I’m hopeful that they will have a treatment plan that will keep your dad comfortable without being invasive if he is diagnosed with cancer.
Take care
Ann
Hi SuziQ, thanks so much for replying, I hope your husband is doing well. It did occur to me that there may have been something in a blood test Dad had recently that contributed to the diagnosis. I know the wait for a proper diagnosis and treatment plan is the worst time from my own experience, but I’ll know where to come for advice once I know what’s happening. Thanks again.
Hi Artsie Anne, that’s reassuring to hear. It’s such a struggle getting him out of the house to hospital appointments, he’s already got Wet Macular Disease. He’s blind in one eye and has injections in the other which he hates. I hope you are doing ok now. Thanks so much for replying, it’s much appreciated.
Hi Debdaw
It must be challenging to get him to appointments, my son in law has the same with his dad who’s blind and hasn’t got a blue badge so the walk takes from parking to eye hospital takes forty minutes. Think they’re stressed before they get there. I’ve suggested that we drive and drop. My sister and I did that with our mum. I would hate injections in my eye. My sister had that it makes my toes curl the thought of it.
I’m doing really well thanks. I’m the other side of the treatment and being monitored
take care
Ann
Hi Debdaw.
So sorry to hear what your GP has stated.
My GP experience was quite the opposite. I tested positive on fit. It turns out i got full marks at >400. GP felt it could be many things, like others here have mentioned, but i was symptomatic too, so was fast tracked for further investigation.
My research on NHS trust sites showed that even with high FIT score like mine, only 1 in 4 are actually cancer.
So i'm surprised your father's GP has been so definitive.
If you do go for further investigations they should talk openly about treatment or condition management that your father feels best suits him.
Good luck and we're all here for you whatever the results.
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007