Colorectal Cancer: Positive Trends and Key Recommendations

Good News: Colorectal cancer death rates have been steadily decreasing in both men and women over recent decades. Experts attribute this decline to earlier screenings that detect and remove polyps, as well as advancements in treatment options.

The Not-So-Good News: However, the incidence of colorectal cancer is rising among younger and middle-aged adults. Possible contributing factors include poor diets, obesity, sedentary lifestyles, and environmental influences.

The Silver Lining: The good news is that you have the power to detect colon cancer early, when it's most treatable, and significantly lower your risk for the future.

Get Screened for Colorectal Cancer

Age 45 is the new 50 when it comes to colorectal cancer screenings. The American Cancer Society recently lowered the recommended age for starting screenings due to the rise in cases among younger individuals. Early detection offers the best chance to catch colon cancer when it is highly treatable.

A colonoscopy is the gold standard for identifying precancerous polyps and is the only screening that allows for the removal of these polyps during the procedure.

When Should You Get Your First Colonoscopy?

For people at average risk, the first colonoscopy should be done at age 45—five years earlier than the previous recommendation. After that, screenings should be repeated every 10 years unless otherwise advised by your healthcare provider. If you are at higher risk, your doctor may suggest starting screenings earlier.

During a colonoscopy, you’ll receive mild sedation as a lighted tube is used to examine your entire colon, looking for and removing any polyps that might be cancerous.

There are also at-home screening options that detect blood or DNA in the stool, which can’t be seen with the naked eye. These tests can be done annually, but if the results are positive, a colonoscopy will be necessary to confirm the findings. Your provider can discuss the options that are best for you.

Reduce Your Risk

Living a healthy lifestyle can significantly reduce your risk of colorectal cancer and other diseases. Simple actions you can take today include:

• Drinking plenty of water
• Maintaining a healthy weight
• Exercising daily
• Eating a nutritious diet
• Quitting smoking
• Limiting alcohol intake

Watch for Symptoms of Colorectal Cancer

Symptoms of colorectal cancer typically don’t appear until later stages, but if you notice any of the following, contact your healthcare provider right away:

• Changes in bowel habits
• Rectal bleeding or blood in stool
• Persistent abdominal discomfort
• Nausea or vomiting
• Unexplained weight loss
• Chronic fatigue

While colorectal cancer remains the third most common cause of cancer-related deaths in the U.S., there are many ways to reduce your risk and protect your health. Start by talking to your healthcare provider about when you should begin screenings and which lifestyle changes can help minimize your risk in the years ahead. You can learn more about the screening options available at Dignityhealth.org/AZColon