Change in bowel habit
Symptom and Specific Features  | Possible Cancer  | Recommendation  | 
Change in bowel habit (unexplained), 60 and over)  | Colorectal  | Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks)  | 
Symptom and Specific Features  | Possible Cancer  | Recommendation  | 
Change in bowel habit (unexplained) with rectal bleeding, in adults under 50  | Colorectal  | Consider a suspected cancer pathway referral (for an appointment within 2 weeks)  | 
Symptom and Specific Features  | Possible Cancer  | Recommendation  | 
Change in bowel habit without rectal bleeding, under 60  | Colorectal  | Offer testing for occult blood in faeces (faecal immunochemical testing)  | 
Symptom and Specific Features  | Possible Cancer  | Recommendation  | 
Change in bowel habit. (unexplained) in women  | Ovarian  | Measure serum CA125 in primary care 
  | 
Symptom and Specific Features  | Possible Cancer  | Recommendation  | 
Diarrhoea or constipation with weight loss, 60 and over  | Pancreatic  | Consider an urgent direct access CT scan (to be performed within 2 weeks), or an urgent ultrasound scan if CT is not available  | 
Symptom and Specific Features  | Possible Cancer  | Recommendation  | 
Irritable bowel syndrome symptoms within the last 12 months, in women 50 and over  | Ovarian  | Measure Ca-125  | 
Reference:
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