A 58-year-old woman visits her GP with six months of increasing tiredness. She has had occasional lower abdominal pain and has lost 5kg in weight. She is not taking any medication. She works as a teacher.tired most daysconcentration at work = difficult pain on lower left side of the abdomen cramping pain loose stool with blood mother had bowel cancer worried she has cancer declined bowel screening investigations examination is normal including rectal examination next investigations?

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