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FOBT - Bowel Cancer Screening

Type

Blood Testing

Biomarkers

11

Duration

10 min

Results

3 days

A non-invasive stool-based test that detects hidden (occult) blood in faeces — an early warning sign of bowel cancer and pre-cancerous polyps. Bowel cancer is the second most common cancer in Australia and the second leading cause of cancer death, yet it is over 90% treatable when detected early. The Australian government recommends screening every 2 years from age 50, but this private option allows earlier or more frequent screening without a GP referral.

Bowel cancer (colorectal cancer) is the second most common cause of cancer death in Australia, yet it is one of the most preventable and treatable cancers when detected early. The five-year survival rate exceeds 90% when caught at stage one but drops below 15% at stage four. The faecal occult blood test (FOBT) detects hidden blood in stool — blood that is invisible to the naked eye but indicates bleeding somewhere in the gastrointestinal tract. Bowel cancer and pre-cancerous polyps often bleed intermittently into the bowel. The FOBT uses immunochemical methods (FIT — faecal immunochemical test) to detect human haemoglobin in stool with high specificity — it does not react to dietary blood from meat, reducing false positives compared to older guaiac-based tests. A positive result does not diagnose cancer but identifies people who need further investigation, typically a colonoscopy. The Australian National Bowel Cancer Screening Program sends free FOBT kits to eligible Australians aged 50-74 every two years. However, bowel cancer incidence is rising in younger adults, and many practitioners now recommend earlier and more frequent screening — particularly for those with a family history of bowel cancer, polyps, or inflammatory bowel disease. ClearLabs offers this test without a GP referral and without waiting for the government screening schedule. The test uses a home collection kit — a small stool sample is collected according to provided instructions. No dietary restrictions are required with the immunochemical method. ClearLabs delivers results within 2-3 business days through the confidential digital dashboard. For adults over 45, or those with any family history of bowel cancer, regular FOBT screening is one of the highest-value preventive health investments available.

Key Details

Sample
Stool (non-invasive)
Detects
Hidden blood — bowel cancer indicator
Collection fee
+A$20

Who Is This For?

Bowel cancer screening, age 45+, family history of bowel cancer, digestive symptoms, proactive cancer prevention

What's Included

Faecal occult blood test (FOBT/FIT)

Preparation Required

No fasting required. Stool sample collected at home or at collection centre. Avoid aspirin and NSAIDs for 7 days before if possible (discuss with your doctor if prescribed).

Panel Categories

Tumour Marker Panel

Biomarkers Tested

11
AFP
beta-hCG
CA-125
CA 15-3 ng/mL

A biomarker associated with some breast cancers; used to monitor treatment response in patients with metastatic breast cancer.

CA 19-9 U/mL

A biomarker commonly used in the diagnosis and management of pancreatic and gastrointestinal cancers. Elevated levels can also be found in other conditions such as liver disease.

CA 72-4 ng/mL

Tumor marker; elevated levels may indicate certain cancers, particularly gastrointestinal cancers.

CAR Rise Response µg/dL

The cortisol awakening response (CAR) is a period of increased cortisol secretory activity initiated by morning awakening and typically peaking between 30 and 45min post awakening

CEA
Free PSA ng/mL

Measures only the unbound PSA in the blood.

HE4
pH pH units

Imbalances in gut pH influence short-chain fatty acid production and their effects.

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