Get the Test, ca of colon.

Get the Test, ca of colon.

Get the Test, ca of colon.

Get the Test!

We at Colon Cancer Canada find it unacceptable that colon cancer remains the second leading cause of cancer-related deaths when 90% of cases could be cured if caught at an early stage.

It is with this statistic in mind that our awareness campaign urges Canadians to speak with their family physicians and ‘Get the Test’. For many Canadians the test could be as simple as an at-home FOBT (Fecal Occult Blood Test), additional information is available on www.colonversation.ca. For those with a family history of colon cancer, or who are over 50, it might be more appropriate to undergo a colonoscopy for screening. Speak with your doctor, know your risk category, and Get the Test. Finding colon cancer is better than dying from it.

A “How-to” guide for FOBT and FIT tests

General

  • FOBT and FIT test for non-visible blood in stool samples; presence of blood may indicate bleeding in gastrointestinal tract, particularly in the colon (http://medind.nic.in/jac/t02/i2/jact02i2p153.pdf )
  • FOBT tests for heme while FIT tests for globin; both globin and heme are components of red blood cells
  • FIT is more sensitive than conventional

Instructions:

Generally, there are 3 methods of administration:

  1. Guaiac fecal occult blood test (gFOBT)— smear stool representatives from 3 consecutive days onto provided card using applicator stick, then return to physician or lab via mail
  2. Flushable pad/tissue— flushable pad is placed in toilet after bowel movement; any colour change of pad is recorded by patient on a mail-in-form to doctor
  3. Immunochemical fecal occult blood test (FIT)— collect stool sample on a special brush and insert brush into provided container; mail container along with patient information to doctor or lab

Preparing for the test

  • “How can you prepare for the test” section indicates how to prepare for FOBT (e.g. diet restriction )
  • note that FIT does not require specific diet in most cases (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299236/ )

Doing the test

Videos

Table 1. Comparison between general guaiac fecal occult blood test (gFOBT)and immunochemical fecal occult blood test (FIT). Adapted from https://www.acog.org/-/media/Districts/District-II/PDFs/NYSDOH-FOBT-FIT.pdf

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