The rise of colorectal cancer

Once regarded as a concern primarily for the older generation, colorectal cancer has increased in patients under the age of 50, with physicians urging young adults to get screened.

Sajen Mathews, M.D., gastroenterologist and chief medical officer at Providence St. Jude Medical Center, says, “I can’t think of any other cancer going up in younger people at the same rate as colorectal cancer. For people under 50, rates have gone up five to sixfold.”

Though exact causes are still unknown, family history and lifestyle choices may play a significant factor in the rise of colorectal cancer. “Prevention starts at a young age,” according to Dr. Mathews. “School-aged kids should be eating a healthier diet, particularly fruit and vegetables, with less processed food, as obesity is linked to colorectal cancer.”

Individuals, especially those under 45 years old, are encouraged to talk with their doctor if they’re experiencing abnormal or irregular symptoms such as a change in bowel movements, blood in their stool and fatigue.

According to the American Cancer Society, the five-year survival rate for colorectal cancer is about 90 percent when found at an early stage. Early detection is a critical factor in successfully overcoming colorectal cancer, and the recommended screening age has been lowered to 45 years old. For those with a significant family history, the recommended age to start screening could be 40 years or even lower depending on the specifics of the family history.

Though a colonoscopy remains the preferred screening tool, stool test kits are a good alternative for people who can’t access a colonoscopy or who are enormously fearful of one. A FIT, which stands for fecal immunochemical test, is an annual stool test that screens for colon cancer, it’s convenient and done at home.

The FIT test procedure analyzes stool for the presence of a specific type of blood that can be a sign of cancer. However, it’s important to know the test doesn’t diagnose colon or rectal cancer. Instead, a positive test signals that something could be going on and additional testing may be needed to rule out any issues.

Schedule a screening or contact a Providence physician today.

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