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Bowel Cancer Test

A stool test done at home.
Explained by a doctor.

Done at home, read by a laboratory, explained by a GP. You get your exact number and a free consultation with your results.

How it works

Order online

Posted to your door in plain packaging with clear instructions inside

Post it back free

Prepaid packaging, already addressed to the laboratory

Get your FIT number

Analysed the next working day, with a free GP consultation

Have symptoms right now? Speak to a doctor first.

This test is for checking when you feel well, or alongside advice from a doctor. It is not a substitute for being examined. Please contact your GP or NHS 111 today if you have any of the following:

  • A lump you can feel in your tummy or back passage
  • Heavy or persistent bleeding from your back passage
  • Unexplained weight loss alongside tummy pain
  • A change in your bowel habit lasting more than three weeks

Symptoms like these should be assessed rather than self-managed. A FIT test is exactly what NICE guidance asks doctors to use in this situation, alongside an examination and blood tests.

Book a consultation £50
The evidence

Six things worth knowing.

Plain facts about what this test does, who bowel cancer affects, and where the lines are drawn.

What it is
1 sample

It finds blood you cannot see

  • Measures haemoglobin, the protein in blood, in your poo
  • In amounts far too small to notice yourself
  • No diet changes. Nothing to avoid beforehand
  • One small sample, collected at home, takes under a minute
FIT, the faecal immunochemical test
The part most people miss
10 not 80

One test, two very different lines

  • The NHS screening kit and your GP's kit are the same test
  • Only the number counted as positive changes
  • Screening in England is moving from 120 to 80 by 2028
  • With symptoms, the line drops to 10. In Scotland, 20
NICE DG56 · NHS England, January 2026
What the experts recommend
20 µg/g

The figure the screening committee calls best

  • The UK National Screening Committee says 20 is the optimal screening threshold
  • Screening sits far above it anyway
  • The limit is how many colonoscopies the NHS can do
  • It is a capacity decision, not a fact about the test
UK National Screening Committee
Who it affects
1 in 20

Bowel cancer cases are in under 50s

  • Uncommon at that age. Not rare enough to ignore
  • Rising fast: 3.6% a year in England over the decade to 2017
  • The fourth fastest rise in the world
  • NHS screening does not start until 50
Cancer Research UK · Lancet Oncology, December 2024
Why your number matters
20.7%

Positive is a scale, not a category

100 and above
10 to 99
Under 4
  • At 100 or above, 1 in 5 had cancer
  • Between 10 and 99, about 1 in 30
  • A yes or no answer throws all of that away
BJS Open 2021;5:zraa056 · symptomatic cohort
Being straight with you
1 in 10

People with bowel cancer test below the line

  • A normal result lowers the odds. It does not close the question
  • It says little about the stomach or gullet
  • A raised result is rarely just piles
  • So a doctor speaks to you either way
BJGP 2023;73:283

Order your test kit.

Posted to your home address with prepaid return packaging and clear instructions. A free GP consultation is included with your result.

£75
Order your kit

A one-off test. There is no subscription and nothing recurring. No card stored, nothing to cancel.

If you are under 50

Younger does not mean immune.

Bowel cancer is uncommon in younger adults and we are not going to pretend otherwise. But it is not rare enough to ignore, and it is rising fastest in exactly this age group.

The harder problem is being believed. Early symptoms look almost identical to IBS and haemorrhoids, and younger patients routinely report being reassured rather than investigated. A FIT number is objective evidence. Guidance is clear that FIT can be used to assess adults of any age.

If you have symptoms now, please speak to a doctor rather than testing alone. You can book a consultation with us, and we will arrange the test as part of that assessment.

Order your kit £75 Book a consultation £50
1 in 20
UK bowel cancer cases occur in people under 50
3.6%
A year, the rise in early onset bowel cancer in England over the decade to 2017, the fourth fastest in the world
43%
Of younger patients surveyed by Bowel Cancer UK had visited their GP three or more times before being referred
The process in full

Five steps, one small sample.

From ordering to a doctor explaining your result, with nothing you need to arrange yourself.

01

Order online

Pay securely online. No referral and no appointment is needed.

02

Your kit arrives

We post the kit directly to your home address in plain packaging. Inside is everything you need: the sample device, clear instructions, and prepaid return packaging already addressed to the laboratory.

03

Collect your sample

A single small stool sample, taken at home whenever suits you. The instructions walk you through it plainly. Most people find it takes under a minute, and there is no dietary preparation.

04

Post it back the same day

Drop the prepaid envelope in a postbox the same day you collect the sample. If you cannot post it that day, keep it somewhere cool and dry, out of direct sunlight, and post it as soon as you can.

05

Your number, your report, your consultation

Your result is released securely with your exact FIT figure and a written report from a GP. We then send you a booking link so you can choose a time to talk it through. The consultation is included whatever your number turns out to be.

Order your test kit  £75 Book a consultation  £50
Your results

What happens next, both ways.

Most home tests hand you a number and leave you to it. A raised result is a stressful thing to receive by email. Here is exactly what we do.

Below 10 µg Hb/g

No blood detected above the threshold

  • Your exact figure and a written GP report, released securely
  • A booking link so you can choose a time to talk it through, included
  • A clear explanation of what a normal result does and does not tell you
  • A downloadable lab report to keep or share with your own GP
At or above 10 µg Hb/g

Blood detected, and a doctor calls you

  • A telephone consultation with our GP at no extra cost, offered at the earliest slot we have
  • A proper conversation about your specific number, and why most raised results are not cancer
  • If you have private medical insurance, referral for a private colonoscopy
  • If not, we write to your NHS GP immediately with your result and lab report so they can act on it
Order your test kit  £75 Book a consultation  £50
Is this right for you?

Answer three questions.

This will not diagnose anything. It tells you whether a home test is a sensible next step, or whether you should speak to a doctor first.

1. Do you have any of these right now?
Tick all that apply, or leave blank if none.
2. Has a close relative had bowel cancer?
A parent, brother, sister or child.
3. How old are you?
This helps our GP interpret your result.
The people behind your result

Meet the team.

Every report is written by a GMC registered GP, and every patient gets a consultation whatever their result.

RB
GP and Founder

Dr Rhea Bhadresha

MBChB (Glasgow) · GMC 7528328

Rhea has been a GP since 2024, and founded Bowel Cancer Test. Her interest in this service came from missed bowel cancer cases, and rising bowel cancer cases, seen first hand at the GP practice she worked with. She works four sessions a week at Curran and Partners NHS practice in Clapham.

General PracticeCancer ScreeningBowel Cancer Testing
BA
Lead Clinical Nurse

Beverly Avecilla

RGN · NMC Registered

Beverly manages the patient pathway from the moment your kit is dispatched to the moment your report is issued. With a background spanning IV therapy, cardiology and interventional cardiology, she brings the same rigour to sample handling and patient communication. She is the person most patients speak to first.

Patient PathwaySample GovernanceRegistered Nurse
What our patients say
5.0
★★★★★
Based on our Google reviews

Replace with your live Google reviews widget before publishing.

★★★★★

I am 38 and my GP kept telling me it was almost certainly nothing. Having an actual number to take back with me changed the entire conversation.

JM
James M.
Placeholder review
★★★★★

The kit arrived in two days and the instructions were genuinely clear. What I did not expect was a doctor actually ringing me to go through the result.

SP
Sarah P.
Placeholder review
★★★★★

My result came back raised and I was terrified. The consultation the same day made all the difference. It turned out to be nothing serious.

AK
Anita K.
Placeholder review
Order your kit £75 Book a consultation £50

Accredited UK laboratory

Samples are analysed by The Doctors Laboratory, a UKAS accredited medical laboratory, No. 9317, accredited to ISO 15189:2022.

GMC-registered doctors

Every report written and signed by a qualified GP.

CQC registered

Provided by Pop Up Docs Limited, registered in England, company number 13147400, 28-29 Wilcox Close, London SW8 2UD. CQC provider ID 1-11854805327.

Your data stays private

UK GDPR compliant. We never contact your GP without your consent.

Common questions

Everything people ask before ordering.

Is this the same test the NHS uses?

Yes. It is a quantitative faecal immunochemical test, the same type used in the NHS Bowel Cancer Screening Programme, run on accredited analysers. What differs is the threshold we report against, and the fact that you receive your actual number, a doctor's interpretation and a consultation.

Can this test tell me whether I have bowel cancer?

No. FIT detects human haemoglobin in your stool. It cannot diagnose bowel cancer, and a raised result has several possible causes including polyps and inflammatory bowel disease. Most people with a raised result do not have cancer.

Equally, a normal result reduces the likelihood of bowel cancer but cannot exclude it. If you have symptoms you should see a doctor regardless of your result.

I had a normal NHS screening result. Is there any point testing again?

Yes, particularly if you have developed symptoms since. The screening kit and the kit your GP uses are the same test, but screening treats a much higher number as positive. In symptomatic patients, thresholds of 100 and 150 µg Hb/g detected 68.1% and 66.3% of colorectal cancers, against 88.7% at the symptomatic threshold of 10.

NICE guidance says explicitly that FIT should be offered to someone with relevant symptoms even if they have already had a negative result through the NHS screening programme. A normal screening letter is not the same as having been cleared.

Why is your threshold lower?

NICE sets 10 µg Hb/g as the threshold for investigating people who have symptoms, and that is the figure we report against. The NHS screening programme uses a much higher cut-off, because a national programme has to balance detection against colonoscopy capacity and the harm of over-investigating well people.

The honest trade-off is that a lower threshold flags more people who turn out to have nothing serious. That is why every result here comes with a GP consultation.

I can see blood. Is FIT still worth doing?

Yes. There was an assumption for years that visible rectal bleeding would swamp the test with false positives, and the evidence turned out not to support it. FIT was found to perform particularly well in this group, and both NICE and the joint ACPGBI and BSG guidance endorse using it in people with rectal bleeding.

That said, visible bleeding is a reason to be seen by a doctor rather than to test alone. Book a consultation and we can arrange both together.

Does a normal result mean I definitely do not have bowel cancer?

No, and anyone who tells you otherwise is overselling it. Roughly 1 in 10 people with colorectal cancer will have a FIT result below the threshold. In someone with symptoms, the residual risk after a negative test is in the region of 0.1 to 0.3%: low, but not zero.

FIT also says little about the stomach or oesophagus, because blood from higher up is broken down before it reaches the stool, and it is less sensitive for inflammatory bowel disease and larger polyps. If you have ongoing symptoms, a normal result is a reason to keep investigating, not to stop.

I have iron deficiency anaemia. Is this test useful for me?

Yes. Early advice was cautious about FIT in this group, but larger studies have since shown it performs well, with a sensitivity around 96.7% at the 10 µg Hb/g threshold.

Important caveat: anaemia needs a full work-up, and FIT is only one part of it. It cannot exclude a problem higher up the gut. Please see a doctor about the anaemia itself rather than relying on this test alone.

Should I do two tests rather than one?

For most people, one is the right answer. NICE reviewed both dual sampling and repeat testing and concluded that a single sample at a single threshold remains the most effective approach on current evidence.

Where a second test genuinely helps is safety-netting: if your first result is normal but symptoms persist, a repeat is worth discussing. Two negative results together bring the residual risk down to under 0.04%. Our GP can advise whether that applies to you.

Does my actual number matter, or just whether it is above the line?

It matters a great deal, which is the main reason we report it. Work from a rapid diagnosis service in Nottingham stratified patients by their figure and found cancer detection rates of 20.7% at 100 µg Hb/g and above, 3.3% between 10 and 99, and 0.1% below 4.

A positive or negative answer collapses that entire range into one word. Your number is what allows a doctor to tell you how concerned to be, and how quickly to act.

Are there symptoms where I should skip the test and be examined instead?

Yes. If you can feel a lump in your back passage, or have an unexplained sore or ulcer around the anus, guidance is that these should be assessed directly rather than triaged with a stool test first. Please book a consultation or see your own GP rather than ordering a kit.

I have haemorrhoids. Will that cause a raised result?

Probably not, and this matters more than most people realise. Studies looking specifically at this found haemorrhoids to be an infrequent cause of raised FIT results. In one large study, people whose only finding was haemorrhoids had a positive rate barely different from people with no abnormality at all.

The reason we labour the point is that assuming a raised result is "just piles" is the most dangerous mistake anyone can make with this test. Haemorrhoids are extremely common, so plenty of people have both haemorrhoids and something else. A raised result deserves investigating on its own terms.

Do I need to avoid any foods before testing?

No. FIT uses antibodies that recognise human haemoglobin specifically, so unlike the older guaiac tests it is not affected by red meat, vegetables or vitamin C. There is no dietary preparation at all.

Current guidance is also that there is no need to stop or adjust medication before a FIT. If you take anticoagulants or anti-inflammatories, mention it in the questionnaire so our GP has the full picture, but keep taking them.

What if my result comes back raised?

Our GP will call you to talk it through and explain what your specific number means. If you have private medical insurance we can refer you for a private colonoscopy. If you do not, we write to your NHS GP straight away with your result and the full lab report so they can arrange investigation.

How do I know where my kit is?

Message us on WhatsApp at any point and we will tell you.

Results are the one thing we never send by WhatsApp. Your figure and your report are released securely, because a raised number is not something anyone should read in a message thread on a train platform.

Is this a subscription? Will you keep charging me?

No. It is a single purchase and nothing recurring. We do not store your card and there is no subscription to cancel.

If you would like, you can ask us to remind you in twelve months, and we will include 10% off should you decide to test again.

Order your kit £75 Book a consultation £50
From our doctors

Clear answers, properly sourced.

Every article is written by a GP and lists its references, so you can check the evidence yourself.