This topic is about using the NHS FIT (Faecal Immunochemical Test) kit, often referred to as the "poo-stick" kit, for bowel cancer screening, especially for those with a colostomy. The test involves using a small stick to collect a stool sample, which is then sent back for analysis. Here are some helpful insights and advice:

1. If you have a standard (end) colostomy, using the FIT kit is straightforward. Simply open your pouch, dip the provided stick into the stool, seal it in the container, and mail it back.

2. The NHS automatically sends the FIT kit every two years to individuals aged 50-74, unless they choose to opt out.

3. The current FIT kits include one plastic sampling stick, gloves, and a return container, replacing the older version that had five cardboard strips.

4. The test is designed to detect hidden blood in the stool. If the result is positive, further investigation, such as a colonoscopy, is needed to determine the cause.

5. The screening is based on age, not whether you have a stoma. It is relevant for colostomy patients since their colon is still in use, but not for ileostomy patients who no longer have a functioning colon.

6. Local stoma nurses advise that colostomy patients can simply "smoosh" the stick in the pouch contents to collect the sample.

7. If you have an ileostomy, the FIT kit is generally not applicable because your output bypasses the colon. Colonoscopies remain the standard follow-up if monitoring is necessary.

8. If you do not need the FIT kit, such as when you no longer have a colon, you should inform the screening service to stop receiving automatic test packs.

9. A positive FIT result does not necessarily indicate cancer. It could be due to other causes like fissures or hemorrhoids. A colonoscopy is usually the next step to clarify the cause.