Rising Trend of Colon Cancer in Young Adults: The Crucial Role of Colonoscopies
Dr. Jamin Brahmbhatt emphasizes the significance of early detection following the tragic loss of a friend at 38. Understanding the signs, symptoms, and advantages of screening is key in combating colon cancer among the younger population. Learn why awareness and timely screenings are imperative in the battle against this disease.
Colon cancer may not feel like a pressing issue to some, but it is important to stay informed and proactive, especially with the increasing number of young people being diagnosed. Dr. Jamin Brahmbhatt, a urologist and robotic surgeon with Orlando Health and former president of the Florida Urological Society, emphasizes the significance of being aware of this growing trend. March is recognized as Colorectal Cancer Awareness Month, serving as a reminder to educate individuals about this common and potentially deadly disease.
As a surgeon, I have seen firsthand the devastating effects of cancer. In 2017, I lost a close friend who was a doctor, father, and husband, much like myself, to colon cancer at the young age of 38. His passing serves as a poignant reminder of the crucial role that awareness and early detection play in the battle against colon cancer.
3D x-ray human large intestine cancer. Part of anatomy human body model with organ system.
3D x-ray human large intestine cancer. Part of anatomy human body model with organ system.
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Just one year after losing my friend, I started experiencing sharp abdominal pain and noticed a change in my bowel habits. Despite being a urologist, I couldn't help but worry and fear the worst. I consulted my doctor and had a CT scan, which thankfully showed no major cancers. However, my doctor recommended that I undergo a colonoscopy.
Even though I was in my 30s and didn't meet the criteria for a screening colonoscopy, my doctor needed it for diagnostic purposes to further investigate my abdominal symptoms. Technically, the colonoscopy was optional, but with my friend's memory always on my mind, I didn't hesitate to go through with it.
Experts recommend that most people should begin screening with colonoscopies at age 45. However, some individuals may need to start earlier than 45. It is advisable to discuss with your primary doctor to determine the best starting age and frequency for screening.
It's important to have a talk with your primary care doctor to develop a road map on when to start colonoscopies and at what frequency.
It's important to have a talk with your primary care doctor to develop a road map on when to start colonoscopies and at what frequency.
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The risks of colon cancer
According to the American Cancer Society, around 106,590 new cases of colon cancer are expected in the United States this year, with an equal number of cases in both men and women. The rate of colon cancer diagnosis has been decreasing since the mid-1980s, largely due to more people undergoing screenings and making lifestyle changes to reduce risk factors. However, this decline is mostly observed in older adults. In contrast, for individuals under 55 years old, the rates have been increasing by 1% to 2% annually since the mid-1990s.
Josh Herting, 44, and Amber are now married with two young children, and Josh remains cancer free.
Josh Herting, 44, and Amber are now married with two young children, and Josh remains cancer free.
Courtesy Josh Herting
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Cancer rates are increasing among adults under 50, according to a recent report. This trend has left doctors puzzled and looking for answers.
The lifetime likelihood of developing colorectal cancer is approximately 1 in 23 for men and 1 in 25 for women. However, individual risk factors can make this risk higher or lower for each person. While not everyone needs an early colonoscopy, it is important for everyone to be aware of the signs, symptoms, and benefits of screening.
Get to know your colon better
The colon, also known as the large intestine, is an important part of our digestive system. It acts as a waste processing and recycling center in our bodies. After the stomach and small intestine have done their job of breaking down food and absorbing nutrients, the colon takes care of the rest. Its main role is to remove water and salts from this material, turning it from a liquid form into solid waste, which is commonly known as feces or poop.
The colon does more than just manage waste. It houses a complex microbiome that is crucial for digestive health, immune function, and even mood regulation. The colon is around 5 feet long and divided into five segments, with the rectum being the last segment before the anus. This is why we focus on Colorectal Cancer Awareness Month, not just colon cancer. Cancer can develop in any of these segments, underscoring the need for a thorough colonoscopy when necessary.
Preparing for a colonoscopy can feel like an adventure.
The preparation for a colonoscopy can be a memorable part of the process. It's like a rite of passage rather than just a medical procedure. The day before, you start drinking a bowel-cleansing cocktail to clear out your colon for better visualization during the colonoscopy.
The prep isn't as terrible as you might expect. You might feel dehydrated and tired, and I remember having trouble sleeping the night before, still feeling the urge to go. It was definitely an experience, but it's necessary for a successful colonoscopy.
An endoscopist in blue gloves holds an endoscope in his hands. In the frame only the hands with the device are close-up. High quality photo
An endoscopist in blue gloves holds an endoscope in his hands. In the frame only the hands with the device are close-up. High quality photo
Adobe Stock
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The colonoscopy procedure
A colonoscope, a flexible tube with a camera, travels through your colon, sending live images to the doctor to detect any abnormalities. It's like sending a rover to explore the moon or Mars. If a polyp or suspicious area is found, it can be biopsied or removed on the spot, preventing potential issues. This proactive approach is not just for diagnosis; it also helps prevent problems and provides valuable insights into your health.
I was relieved when the colonoscopy showed no signs of cancer, and my symptoms had already disappeared. Even though my procedure was mainly for diagnosis, regular screenings are crucial for many people as a vital preventive measure.
What should you do next?
The US Preventive Services Task Force advises adults ages 45 to 75 to undergo regular colorectal cancer screenings, emphasizing the importance of early detection.
If you have a higher risk of colon cancer, such as a family history or other factors, it's important to talk to your healthcare provider. They can help you figure out the best screening schedule and methods that fit your needs.
However, many people who should get screened for colon cancer choose not to. Some reasons for this include feeling uncomfortable with stool-based tests, the preparation needed for procedures, and anxiety about colonoscopy exams.
agrobacter/iStockphoto/Getty Images
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This worry may be why only 60% of those who should get colorectal cancer screenings actually do. If it wasn't for my friend's memory, I might have been one of those who skip it.
Good news! A new blood test for colon cancer has shown to be 83% effective in detecting the disease. This test looks for DNA markers from cancer cells in the blood that are specific to colorectal cancer. While it doesn't replace a colonoscopy, a positive result means further testing is needed. Once approved by the FDA, this blood test could help more people get screened for colorectal cancer.
If you have any abnormal symptoms anywhere in your body, get checked. The earlier you do so, the longer you will likely live thanks to getting proactive care.
Editor's P/S:
The article highlights the alarming trend of increasing colon cancer cases among younger individuals. It emphasizes the importance of awareness, early detection, and regular screenings. The author's personal experience with a close friend who lost their life to colon cancer serves as a poignant reminder of the devastating impact of this disease.
The article discusses various aspects of colon cancer, including its prevalence, risk factors, symptoms, and screening recommendations. It emphasizes the role of colonoscopies in early detection and prevention. However, it also acknowledges the discomfort associated with colonoscopies and the reluctance some people may have in undergoing the procedure. The article introduces a promising new blood test that could potentially increase screening rates by providing a less invasive option. By educating individuals about the importance of screening, the article aims to promote proactive care and reduce the burden of colon cancer in our society.
