If you see a little blood when you go to the toilet, or if you have a strange pain in your stomach, it's normal to feel a little scared. "Is this colon cancer?" The doubt may be lurking in the corner of your mind. This is a question that many people have. So today, let's talk about some of the common questions you have about colorectal cancer, in a very simple and friendly way.
I'm almost 50 and no one in my family has had cancer. Should I get tested?
This is a very important question. If no one in your family has had colon cancer or polyps, you are considered to be at "average risk." Generally, both men and women at this average risk are recommended to start screening tests for this cancer after age 50 .
Simply put, these tests are designed to detect and remove small growths (polyps) before they develop into cancer. This can prevent cancer from developing.
Now let's see what these tests are. You can talk to your doctor and choose the test that is most suitable for you.
| Name of the test | How to do it simply | Time to do (average risks) |
|---|---|---|
| Colonoscopy | This is the most accurate and recommended method. A flexible tube with a small camera attached is inserted through the anus and the entire colon is examined. If any polyps are found, they can be removed at the same time. | Once every 10 years. |
| Flexible Sigmoidoscopy | Similar to a colonoscopy, but only the lower part of the large intestine is examined. | Once every 5 years. |
| Fecal Immunochemical Test (FIT) | A test that checks for blood in a stool sample that is not visible to the naked eye. This can be done at home. | Every year. |
| Stool DNA test | A stool sample is tested for genetic changes (DNA changes) from cancer cells. | Once every 3 years. |
I passed some blood while going to the toilet. Could this be cancer?
Blood in the stool when you go to the bathroom can be an early sign of colon cancer. But don't worry. Most of the time, this is not caused by cancer itself. Other conditions, such as hemorrhoids (piles), can also cause this type of bleeding.
The most important thing is, if you see blood when you go to the toilet, don't ignore it. To find out exactly what the cause is, definitely see your doctor. He or she will examine you and tell you what is needed.
Additionally, if you suspect colon cancer, keep an eye out for these symptoms:
- Change in bowel habits (more constipation or loose stools than before)
- Unusual stomach pain or discomfort that feels like gastritis.
- The passage of stool is as thin as a pencil.
- Feeling like your stomach is not completely empty, even after going to the toilet.
- Weight loss for no particular reason.
- Persistent tiredness and fatigue.
They said an adenoma was removed during my colonoscopy. What is that?
Good question. Simply put, an adenoma is a small, non-cancerous (benign) growth that forms in the lining of the large intestine. We also commonly call these polyps.
These adenomas are considered precursors to cancer. This means that over time, some of them can become cancerous. But the important thing is that not all adenomas become cancerous. In fact, only a very small number, about 1 or 2 out of 100, turn malignant. This process takes years.
If a doctor sees a polyp like this during a colonoscopy, it's hard to tell if it's cancerous or not. The risk is especially high for larger polyps. So, without taking any risks, doctors remove every polyp they see right away. This is the best way to prevent cancer.
Can you reduce the risk of this cancer by changing your diet?
Yes, to some extent it is possible. There is a link between diet and colon cancer.
Many people believe that a diet high in fiber can reduce the risk of cancer. Although some studies have shown little effect, there is a clear link between eating a diet high in fat and cholesterol and an increased risk of cancer.
Therefore, it is always good to eat fiber-rich foods (vegetables, fruits, legumes, bran rice) because it helps protect against a host of other diseases, such as heart disease, high blood pressure, and diabetes.
Remember, the best way to prevent cancer is to eat a balanced diet, be active (exercise), and maintain a healthy weight. It is also essential to get screened regularly after age 50 (or earlier if there is a family history of risk).
What do you do about the extreme fatigue that comes after cancer treatment?
Cancer-related fatigue is a very common side effect of cancer treatment. If your husband, wife, or loved one has this condition, there are a few things you can do to help them.
- Keep a diary of your energy levels: For about a week, write down when you feel most tired and when you feel most energetic. Also note down any factors that you think may be causing them.
- Save energy: Plan your work in advance. Set aside time to rest during the day. Divide the work rather than trying to do too much at once.
- Provide good nutrition: It is very important to eat well during treatment. It is best to consult a nutritionist about this.
- Exercise: It may seem strange, but moderate, light exercise can help reduce fatigue. Even something like walking is good. But talk to your doctor before starting any exercise regimen.
- Reduce stress: Focus on things that relax your mind. Things like meditating, listening to music, or reading a book can help.
- Talk to your doctor: Although this fatigue is normal, it is important to tell your doctor about it. Sometimes it can be a symptom of another health problem. Your doctor can also advise you on medications or other ways to manage this fatigue.
Take-Home Message
- It is very important for people at average risk to start screening for colon cancer after age 50.
- If you experience bleeding when you go to the toilet, it could be due to another cause, such as hemorrhoids, but never ignore it and see your doctor immediately.
- During a colonoscopy, small growths (polyps/adenomas) are removed to reduce the risk of them turning into cancer in the future.
- A balanced diet, an active lifestyle, and maintaining a healthy weight can reduce the risk of cancer.
- Talk openly with your doctor about any side effects, such as fatigue, that may be caused by cancer treatment.


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