Dr. Mohammed Hatem Alsubaih · Consultant Colorectal Surgeon

CLINICAL DECISION PATHWAY

Cancer-concern symptom analysis

Alarm features, age, family history, IBD and prior colonoscopy.

Red flags firstDecision-changing questionsPattern-based resultNext step

For adults: educational guidance to understand your next step and prepare for examination. An urgent warning appears immediately; you may continue documenting your history, but do not delay urgent care to finish the questionnaire.

Tool limits: Structures clinical reasoning, priority and missing information. It does not diagnose disease or choose an operation.

BEFORE YOUR VISIT

Turn cancer concerns into clear questions

Separate symptoms, what a report actually says, and what you fear. Enter FIT as described by the laboratory or clinician; do not guess a number with unfamiliar units. Record when and where colonoscopy was done and bring its report. Ask who follows up results and what to do if no reply arrives. This questionnaire provides neither a cancer percentage nor an all-clear.

What will you take away?

A next-step guide, discussion points, preparation list and a summary to copy or save for any clinician you choose.

You control sharing

No account, name or intimate images. Answers are temporary within the page. Booking does not send answers; sharing is your choice.

Question guide: how each answer changes the differential

Persistent vomiting with marked distension and no stool/gas?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

What is the main reason for your concern?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Rectal bleeding/blood in stool?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

If blood is present: mixed within stool or on surface?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

New persistent bowel change for weeks?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

What bowel habit change occurred?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Unintentional weight loss?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Anemia/iron deficiency or unexplained fatigue?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Tenesmus/incomplete emptying or repeated urge after bowel movement?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Persistent abdominal pain/bloating?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

First-degree relative with colorectal cancer?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Was an affected relative diagnosed before 50, or is more than one relative affected?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Longstanding ulcerative colitis/colonic Crohn's?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

How long ago was chronic colitis diagnosed?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

History of advanced polyps or prior colorectal cancer?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Last colonoscopy?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

If prior colonoscopy, what was the result?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Have you had a stool FIT test, and what result did the report or clinician give?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

CT/MRI or report mentioning mass, thickening or narrowing?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Is there a written biopsy result confirming the diagnosis?

This question changes the need for colonic evaluation and clarifies what previous tests actually establish.

Sources and how they are used

NICE NG12 — Suspected cancer

Guidelines and official patient information support the medical principles. Question wording and priority categories are educational adaptations, not a society-validated instrument. No ASCRS, ECCO or NICE endorsement is claimed. Referral and testing systems vary by country. Reference-link checks: 9 September 2026; this is not human clinical review or clinical performance validation.

Privacy and assessment scope

Questions run on this page without requiring your name, phone number or intimate images. You may add a first name for the displayed report; it stays on your device and is not sent to AI. Optional AI assessment sends your answers and text to Cloudflare only with your consent; files are sent when you request extraction. Remove identifiers before upload. The app creates no permanent medical record and no clinician reviews the output. Answers do not persist after reload and are not sent automatically to the clinician. WhatsApp is an external service; the booking button does not attach medical answers. Saved or copied reports contain health information: review them and choose who to share them with.

App files may be cached locally for offline use; this does not include assessment answers. Hosting services process ordinary web requests under their policies. Guidance is automated education, not a diagnosis, prescription or clinician-issued report.