02/03/2026
This month is Colore**al Cancer Awareness Month. I am reposting this message from the American Gastroenterological Association to help spread the word about this important cause.
While the message of awareness is universal, it is important to highlight how our New Zealand healthcare system operates. Unlike some other regions, routine screening colonoscopies are generally not publicly funded here for those without symptoms. Instead, we rely on a structured screening programme and GP-led investigations.
The NZ National Bowel Screening Programme
If you are aged 60 to 74 (or 58 to 74 in many regions as the age threshold is lowering), you will be invited to participate in the National Bowel Screening Programme.
The FIT Kit: Every two years, you’ll be sent a Faecal Immunochemical Test (FIT) to complete at home. It’s simple, clean, and detects tiny traces of blood in the stool.
The Next Step: If the FIT result is positive, it doesn't mean you have cancer, but it does mean further investigation is needed—usually via a colonoscopy.
Participation: I strongly encourage everyone to participate when they become eligible. It is a free, life-saving programme designed to catch changes early when they are much easier to treat.
Other Investigation Modalities
Outside of the screening programme, if you have symptoms, your GP may discuss various diagnostic tools:
FIT test as above, but this can be self funded, and sometimes can also be accessed after a GP referral to the public hospital to investigate new bowel symptoms.
Colonoscopy (Endoscopy): The "gold standard" for looking directly at the bowel lining and removing precancerous polyps.
CT Colonography: A specialized 3D scan often used as an alternative for those less suited for traditional endoscopy.
When to See Your GP
Please don’t wait for a screening kit if you have concerns. Discuss your situation with your GP if you experience "red flag" symptoms, such as:
Blood in your stool (or any re**al bleeding).
A persistent change in bowel habits lasting several weeks.
A strong family history of colore**al cancer or bowel polyps.
Keep in mind: Most of the time, these symptoms are not indicative of serious disease. However, checking in with a professional is the best way to ensure your long-term health and peace of mind.