When your doctor tells you that you have colorectal cancer , you may suddenly feel a lot of shock, fear, and sadness. That's very normal. The biggest question that comes to mind is, "Okay, what do I do now?" Don't panic. You don't have to do everything at once. Let's take each challenge one step at a time.
First, don't be afraid to ask questions.
The more you learn about this condition, the more you'll feel in control. So the next time you see your doctor, write down what you want to know in a notebook or on your phone. You can ask questions like these:
- How far has my cancer spread? What stage is it in? What does that mean?
- How soon should I start treatment?
- What kind of treatment will I be given? (e.g. surgery , chemotherapy, radiation)
- Will this treatment affect my daily life?
- What are the side effects of the treatments?
- Who are the specialists who will treat me? (e.g., oncologist, surgeon) What is their role?
- What are my chances of making a full recovery after treatment?
- Will I need to have a colostomy bag inserted? Will it be permanent?
- How often do I need to come for checkups after treatment?
- What can I do to prevent this cancer from coming back?
Never be afraid or hesitant to ask these questions. This is your body, your life. Therefore, it is your right to know everything clearly.
Let's choose the best team for the best treatment.
Choosing a doctor to treat you is a very important decision. You can ask your family doctor or someone else you trust for a recommendation. Also, these tips will help you get the best treatment.
Choose a doctor you trust and respect.
If you can work with a doctor who is easy to talk to, who listens carefully to what you have to say, and who you can trust completely, this journey will be much easier.
Ask about the doctor's experience.
Ask your doctor how much experience he has in treating patients with this type of colon cancer. If you need surgery, knowing how many times the surgeon has performed the surgery will give you a lot of confidence.
Don't be afraid to get a second opinion.
If you have any doubts about the treatment your doctor is suggesting, or if you want to be a little more certain, there is nothing wrong with seeing another specialist and discussing it. Most doctors in Sri Lanka understand this. The second doctor may also recommend the same treatment as the first. But it will help you overcome your fears and doubts and give you more confidence to face the treatment.
Identify your treatment team
When treating colon cancer, you will need the help of many different specialists. It's like a team sport. These people may be on your team, under the guidance of your primary care physician.
| Specialist doctor | The work he/she does |
|---|---|
| Medical Oncologist | He/She will oversee your overall medical treatment. He/She will prescribe any medications you need, such as chemotherapy . |
| Radiation Oncologist | Radiation therapy is used to destroy cancer cells. |
| Colorectal Surgeon or Surgical Oncologist | Surgery removes the cancerous tumor or part of it. |
In addition, other professionals such as nurses, dietitians, and, if necessary, mental health counselors (`Psychologist` or `Psychiatrist`) will help you on this journey.
Let's get used to a healthy lifestyle.
A healthy lifestyle is your greatest strength when fighting cancer.
- Exercise: Studies have shown that physical activity reduces the risk of dying from colon cancer. Ask your doctor what kind of exercise is right for you and how long you should do it. A good goal is to exercise for at least 30 minutes a day.
- Food: Limit high-fat, processed meats like bacon and sausage. Instead, include vegetables and fruits in your daily diet. Choose brown rice and whole grains instead of white bread and white rice . Eat low- fat foods (fish like salmon, sardines, low-fat dairy products).
- Smoking: If you are a smoker, this is the best time to quit . Treatment success rates for smokers are low. So, if you want to quit this habit, seek help from your doctor.
Prepare for changes in home life
After treatment, especially chemotherapy and radiation, diarrhea can occur. You may feel like you have difficulty controlling your bowel movements. However, this condition gradually improves after treatment is over.
After surgery, you may need to have a colostomy bag placed outside your abdomen to drain your stool. This can be temporary or permanent. Your doctor and nursing staff will explain how to manage this. Don't feel embarrassed about this, it's part of the treatment.
This is a challenge for family and friends too.
When you find out you have cancer, your family and close friends will be in shock. Just as they can help you, they also need to think about their own mental health.
Advice for family and friends
- Your loved one may experience changes in their behavior and mood. Medication, pain, and stress can make them irritable and sad. Try to understand that.
- Help them when they need help. Ask, “What do you need me to do for you?” It could be something as simple as taking them to the doctor or making them a meal.
- Think about your health too. Get enough sleep, eat nutritious food, and take some time to relax. Only when you are strong will you be able to help someone who is sick.
Take-Home Message
- Be an active partner in your treatment process. Don't be afraid or hesitant to ask your doctor questions.
- Choose a medical team that you trust and that will listen to you. Never hesitate to get a second opinion if necessary.
- Maintaining a healthy lifestyle (good diet, exercise) is a great way to make treatment successful. Quit smoking completely.
- You are not alone. Get support from your family, friends, and a counselor if needed. Don't keep your feelings bottled up.
- Cancer is not the end of life. It is a challenge. With the right treatment, a strong mindset, and the support of loved ones, you can overcome this challenge.
Colon Cancer, Colorectal Cancer, Cancer Treatment, Colostomy, Cancer Symptoms, Cancer Advice, Cancer and Lifestyle


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