March is Colon Cancer Awareness Month
Ten years ago March was declared National Colorectal Awareness Month in order to help raise awareness to the second leading cause of cancer deaths here in the United States. Research has shown approximately 5% of the American adult population will be affected with this disease, however, early detection is essential for long term survival.
One of the most difficult factors physicians face is the notion that people do not like to talk about their bowel habits, whether this is out of embarrassment or lack of knowledge that any change in our bowel habits can be a sign or symptom that something may be wrong. But also know that the signs and symptoms (see below) can be quite vague so don’t panic if you are experiencing one or more, since there are many other ailments of the gastrointestinal tract that can be responsible for your issues. But, please don’t hesitate to talk with your doctor if you have any concerns.
In order to better understand this disease, we must first identify who may be at risk. Sadly, we all are, especially those over the age of 50. Below is a list which will help identify some of the other risk factors.
Adults over age 50- more than 90% of those diagnosed with this disease are over the age of 50 with the average age being 72 years.
Smokers or those who use other tobacco products
Sedentary individuals
Diet high in fat and low in fiber
Obesity
Family history of inherited colorectal cancer
Family history or personal history of polyps, both cancerous and benign
Family history or personal history of inflammatory bowel disease such as ulcerative colitis and Crohn’s disease
Women who have been previously diagnosed with cancers of the ovary, uterus or breast
Because colorectal cancer symptoms may mimic symptoms of various other gastrointestinal diseases it is important to talk over any new or changing symptoms with your health care provider. It is always best to err on the side of caution since identifying this disease early on can lead to a greater chance of survival.
Below is a list of symptoms that have been identified with this disease.
Bleeding from the rectum
Bright red or very dark (black looking) stools
Constipation, diarrhea or the sensation that you did not empty your bowel
Narrowed stools, more than usual
Gas, cramps, bloating
Loss of weight for no known reason
Fatigue
Nausea or vomiting
One test that every individual over the age of 50, with or without a family or personal history of colorectal cancer, is the colonoscopy. If you are younger than 50 and have a family history of colorectal cancers or you have experienced risk factors mentioned earlier, your physician may recommend a colonoscopy before that time.
Unfortunately, the colonoscopy has received a bad rap from many, mainly from the preparation that one must do prior to the test. But this test is crucial in making an early diagnosis for many, therefore allowing for a positive recovery. Do not allow embarrassment and modesty to stand in the way of potentially saving your life.
I hope you will take time to discuss your concerns with your doctor. Also remind your family members the necessity to have a routine colonoscopy recommended by their physician. For most this is done every 10 years if the first test was clear, but for those with a family history or other risk factors may be required to do so more frequently. This is one cancer that if caught early can be treated, therefore allowing one to have a long life ahead.
Were you aware colorectal cancers are so prevalent? Do you feel embarrassed to talk with your doctor about your bowel habits? Have you had a colonoscopy? Have you or anyone else in your family been diagnosed with colon or rectal cancer?
One of the most difficult factors physicians face is the notion that people do not like to talk about their bowel habits, whether this is out of embarrassment or lack of knowledge that any change in our bowel habits can be a sign or symptom that something may be wrong. But also know that the signs and symptoms (see below) can be quite vague so don’t panic if you are experiencing one or more, since there are many other ailments of the gastrointestinal tract that can be responsible for your issues. But, please don’t hesitate to talk with your doctor if you have any concerns.
In order to better understand this disease, we must first identify who may be at risk. Sadly, we all are, especially those over the age of 50. Below is a list which will help identify some of the other risk factors.
Because colorectal cancer symptoms may mimic symptoms of various other gastrointestinal diseases it is important to talk over any new or changing symptoms with your health care provider. It is always best to err on the side of caution since identifying this disease early on can lead to a greater chance of survival.
Below is a list of symptoms that have been identified with this disease.
One test that every individual over the age of 50, with or without a family or personal history of colorectal cancer, is the colonoscopy. If you are younger than 50 and have a family history of colorectal cancers or you have experienced risk factors mentioned earlier, your physician may recommend a colonoscopy before that time.
Unfortunately, the colonoscopy has received a bad rap from many, mainly from the preparation that one must do prior to the test. But this test is crucial in making an early diagnosis for many, therefore allowing for a positive recovery. Do not allow embarrassment and modesty to stand in the way of potentially saving your life.
I hope you will take time to discuss your concerns with your doctor. Also remind your family members the necessity to have a routine colonoscopy recommended by their physician. For most this is done every 10 years if the first test was clear, but for those with a family history or other risk factors may be required to do so more frequently. This is one cancer that if caught early can be treated, therefore allowing one to have a long life ahead.
Were you aware colorectal cancers are so prevalent? Do you feel embarrassed to talk with your doctor about your bowel habits? Have you had a colonoscopy? Have you or anyone else in your family been diagnosed with colon or rectal cancer?
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Comments
I was 43 when the cancer started and 53 when they found it. It had been growing for 10 years and I didn't even know. In hindsight - I was tired a lot.
Please get checked if you can - it saved my life. - 4/1/2009 10:05:39 PM
Having worked in the healthcare profession for 25+ years (at that time) I was worried but quickly went about scheduling an appt with our PC physician. My husband was then referred to a GI specialist who in turn had x-rays and then a CAT scan (my husband was a very large man 6'3" and weighed 285 lbs) which revealed three large masses; one the size of a grapefruit, one an orange and the last a lemon-sized. He had surgery and when the surgeon came out (1-1/2 hours after the stated time for the surgery) I knew the diagnosis was going to be grim and it was. Although they were able to get approximately 99% of the tumors, the surgeon stated it looked as though someone had taken a paintbrush and just splashed about in all his intestinal areas. While I heard the physician tell me, it wasn't until I read the operative report (the day after surgery) that I realized just how devastating this disease process is. All I could do was cry in my car, knowing I had to go in and tell this ever gentle man he was going to die even with chemotherapy, he was beyond hope and there was nothing I or the physicians could do to fix it.
It was a very slow 6 months, and a painful death to watch. He had been the picture of health, neery a thing wrong with him ever. OH, and he had had a complete physical just 2 months prior to his 'constipation'.....no colonoscopy was performed nor even mentioned, probably in part due to no family history and he was only 45 yrs old. He withered before my eyes and although I didn't see it (your mind blocks out certain things when you care for someone day in and day out 24/7) he was in constant pain always feeling as though he had not 'emptied' his bowels. He was in so much pain ...it's hard to explain...in the end in hospice (I had to put him in hospice on my 40th birthday) I began to see how he had deteriorated going from 285 and on the day he died he weighed 90 lbs.
He was too young to have a colonoscopy and it still makes me wonder if the testing age were 40 instead of 50, would we be able to save more lives?
Ironically, I was diagnosed with Crohn's 20 years ago (when I was 33 yrs old) when I suddenly started having rectal bleeding and my husband took me to the emergency room. I also have been diagnosed with IBS, IBD, colitis, and ileitis. As a result, I have a colonscopy every year and because of my Crohn's I sometimes have the pleasure of having (lol here) two a year! I do it because of my family and my grandchildren so I can have fun, play and hopefully leave a piece of me with each of them.
Simply said 'GET A COLONOSCOPY' even if the cost is out of range for your personal finances - make payment arrangements, isn't your life worth $500?
- 4/1/2009 10:18:45 AM
My Doctor called to remind me
I think that was great!
It's not in my plans to die young or with colon cancer
Please be checked
Melanie - 3/16/2009 4:58:48 PM
I'd also like to say that the current advisement is if someone in your family (a 1st degree relative) has been diagnosed with colon or rectal cancer, you NEED to begin screening TEN (10) years earlier than the age at which they were diagnosed. For instance, if your dad was diagnosed at age 51, your screening NEEDS to begin at age 41. For more information you can go to www.ricancercouncil.org and click on "Cancer Info." On the drop down menu select "Colorectal cancer." ( http://www.ricancercouncil.org/canc
er-info/colorectal-cancer-facts.php
) This information has been reviewed and approved by local oncologists.
GET SCREENED! - 3/12/2009 11:41:58 AM
I pay nearly $500/month for my insurance, but have a high deductible and no tests are covered until I meet that deductible, except screening mammograms and those tests considered as part of an annual physical, but they have to be done in your PCP's (primary care physician) office. Since no PCP's in my area do their own blood work, I have to pay for all my blood work. However, the normal screening blood work once a year is nowhere near the cost of a colonoscopy.
Unless I get a job with better insurance, the cost of a colonoscopy becomes affordable, or my financial situation improves dramatically (actually I may be laid off), I don't foresee my having a colonoscopy. I guess I will just have to hope that I don’t develop any polyps at least till I turn 65 & Medicare will cover it to some degree. If this is, and I believe it is, so critical for one's health, it should be covered as a part of routine screening for those who are at higher risk. - 3/10/2009 1:15:08 PM
You know, I don't remember my doctor ever asking me about bowel movements & such, except on the list of an intake form. I think she should--& I wouldn't be embarrassed to talk about mine.
It may be helpful for people to know that unlike other screening tests, insurance companies do not classify the colonoscopy as a lab test but as SURGERY. I had not been prepared to get a bill from the hospital for a share of the costs--it would have been nice to know ahead of time. - 3/9/2009 2:54:00 PM
I ALWAYS have trouble going to the bathroom, usually only 1-2 times per week can I even go, and sometimes I have to take laxatives to be able to go if it gets to a week without going. I get my recommended fiber on most days and I believe I drink enough because I pee regularly.
I do get scared that colorectal cancer may hit me, too, but my doctor told me not to worry about a colonoscopy until I turn 40. Should I get one done sooner? Some of these comments are scaring me. - 3/9/2009 7:51:47 AM
And I am not embarrassed to talk to my doctor about my bowel habits or changes in them. It could save my life. - 3/9/2009 5:52:11 AM
As a nurse, I take care of folk all the time, alot younger than myself, who have colon cancer.
One does NOT always have symptoms till it is too late.
I have absolutely NO history of colon cancer in my family, no cancer at all for that matter. VERY healthy bowels, however will be having a colonoscopy soon just because!!
Colon cancer and pancreatic cancer are becoming #1 in death rates among people in their 50's and 60's.
- 3/9/2009 12:07:43 AM
I had a colonoscopy a few years back around the time of my hysterectomy. The prep is sort of a nuisance but it’s by no means beyond bearing. I had no trouble with the procedure at all. The potential to save a life is worth a little discomfort and inconvenience. Cancer and Death are so beyond inconvenient…
I also had a fecal occult test for blood in my 30’s. I received the test kit through a free cancer screening clinic and I regularly see such clinics being run where I live now too. I don’t think it replaces regular colonoscopy for those of us who need them but it could be a way for those of us who are uninsured or under insured to increase our chances of early detection. - 3/8/2009 5:25:01 PM
I recommend it getting done. - 3/8/2009 4:38:31 PM
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