Bowel Cancer, Colonoscopies and why we are weird about poo

·36 min·3 clips

Most bowel cancers start as harmless polyps, and removing them can actually prevent cancer from developing.

The episode begins with hosts Nicole Goodman and Laura Mishkon introducing Dr. Adam Haycock, a consultant gastroenterologist specializing in digestive conditions and bowel cancer screening. Dr. Haycock explains that bowel cancer is common and incidence is rising, partly due to increased lifespan. He clarifies that most bowel cancers develop from benign polyps, which are very common and often asymptomatic. The discussion moves to symptoms, with Dr. Haycock listing four key warning signs: blood in stool, unexpected weight loss, changes in bowel habits, and anemia or extreme tiredness. He emphasizes that symptoms often appear late, making screening crucial. The hosts inquire about the NHS screening program, where individuals over 50 receive a FIT test every two years to check for microscopic blood. Dr. Haycock notes that about 5-10% of those with a positive FIT test have bowel cancer, but screening saves thousands of lives annually. The conversation addresses why people avoid screening, citing embarrassment and the icky nature of stool tests. Dr. Haycock demystifies colonoscopies, describing the bowel preparation as the worst part and the procedure itself as relatively straightforward, often done with sedation. He also mentions alternatives like colon capsules but notes colonoscopy remains the gold standard for removal of polyps. Lifestyle factors are discussed, with advice to minimize processed meats, increase fiber, and maintain general health, though most polyps are genetic. Dr. Haycock touches on family history, noting that strong family history may warrant earlier screening. The episode includes a segment on women's health, explaining how conditions like endometriosis can mimic bowel symptoms. Dr. Haycock concludes by urging listeners to complete screening tests and seek medical advice for persistent symptoms. The hosts ask about his self-care routine, which includes home exercise and watercolor painting.

As heard by us

A clear, plain-English discussion of bowel screening, home tests, and why uptake still varies.

Bowel cancer screening is handled in a practical, unfussy way, moving from colonoscopy to the FIT home test and the reasons some people still do not take it up.

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Why you'd press play

You want the straight story on FIT screening, colonoscopies, and the awkward sample nobody is eager to discuss.

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