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Nottingham Post
Nottingham Post
World
Catherine Addison-Swan & Matthew Bunn

Doctor's warning on 'subtle' change that led to bowel cancer diagnosis

A doctor who was diagnosed with bowel cancer has warned of 'subtle changes' to look out for. The cancer can be found anywhere in the large bowel, including the colon and rectum, and is diagnosed in 43,000 people every year.

GP Dr Anisha Patel was diagnosed with stage 3 rectal cancer five years ago and has also written a book to talk about her experiences, Chronicle Live reports. Dr Patel has been in remission for four-and-a-half years and said her biggest advice was to be aware of what's typical for your body.

This will make spotting any signs of the disease easier to spot, she says. While checking the toilet before you flush might not be the most pleasant thing to do, getting to know your poo could just end up saving your life.

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Dr Patel advised: "People should know their own bowel habits but often people don't know what's normal for them, so my biggest advice is to check your poo before you flush the toilet, check the tissue, because sometimes you don't even know if there's blood on it. So make sure you know what's normal for you in terms of diarrhoea, constipation, mucus and blood."

The GP added that it's "persistent changes" people should be looking out for - a persistent change can be any new symptom that lasts for more than three weeks. The NHS echoes this advice, urging people to see their doctor if they have any symptoms of bowel cancer for "three weeks or more".

The health service lists the symptoms of bowel cancer as:

  • Changes in your poo, such as having softer poo, diarrhoea or constipation that is not usual for you
  • Needing to poo more or less often than usual for you
  • Blood in your poo, which may look red or black
  • Bleeding from your bottom
  • Often feeling like you need to poo, even if you've just been to the toilet
  • Tummy pain
  • Bloating
  • Losing weight without trying
  • Feeling very tired for no reason

Dr Patel went on to share one of the biggest warning signs she spotted before being diagnosed - which could easily have been missed without a vital poo check. "Changes in the shape of your poo are important," she explained.

"When I had cancer, my poo actually became thin and ribbon-like because there was a tumour obstructing it coming out, so it was basically compressing it and making it thin. So it's subtle things like that."

While it may make you feel uncomfortable to talk about your poo, Dr Patel has urged patients not to be embarrassed when it comes to detailing their symptoms to a GP. "We see this all the time," she assured.

The GP added: "I am regularly examining various bits of the body and I don't see any part of the body different to something else." It's particularly important not to leave any details out when it comes to changes in your body, as a warning sign that may seem 'embarrassing' to you could be the vital piece of information a healthcare professional needs to get you on the path to the correct diagnosis.

The NHS says that while the above symptoms are very common and can be caused by other conditions, it's always important to get checked out by a GP if you experience any of them. If they are being caused by bowel cancer, finding it early may mean it's easier to treat.

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