Colon cancer incidence among younger people, particularly those in their 20s and 30s, has been on the rise in recent years, which has prompted discussions about screening and early detection.
It is unclear why there is an uptick in colon cancer in this age group, but sedentary lifestyle, overweight and obesity, smoking, heavy alcohol use, low-fiber, high-fat diets or diets high in processed meats, and other environmental factors have all been associated with the disease.
Here are some points to consider when talking to your physician about colon cancer screening and symptoms that may warrant a colonoscopy at an early age:
Know the Risk Factors
Understanding the risk factors associated with colon cancer can help you have a more informed discussion with your physician. While age is a significant risk factor, there are other factors such as family history of colon cancer or polyps, certain genetic syndromes, and inflammatory bowel disease (IBD).
Initiate the Conversation Early
Don't hesitate to bring up the topic of colon cancer screening during your regular check-ups, especially if you have concerns or risk factors. Even if you're in your 20s or 30s, it's essential to discuss your personal and family medical history with your physician.
Symptoms to Watch For
While colon cancer often doesn't cause symptoms in its early stages, some signs may indicate a need for further evaluation, including:
Discuss Screening Options
Colonoscopy is considered the gold standard for colon cancer screening as it allows for both detection and removal of precancerous polyps during the procedure. However, there are other screening options available such as stool tests (like the fecal immunochemical test or FIT). Discuss with your physician which screening option is most appropriate for you based on your age and risk factors.
Advocate for Yourself
If you have symptoms that concern you or if you have a family history of colon cancer or other risk factors, don't hesitate to discuss with your provider, even if you're younger than the typical age for screening.
Follow Screening Guidelines
While there are ongoing discussions in the medical community about potentially lowering the age for average-risk individuals to begin colon cancer screening, it's essential to follow current guidelines. These guidelines recommend starting screening at age 45 for average-risk individuals, but those with higher risk factors may need to start screening earlier. Be sure to discuss the appropriate timing for screening with your physician.
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