Colorectal Cancer is Rising in Younger Adults—Know the Signs and Get Screened

In recent years, colorectal cancer rates are rising, increasing by about 2 percent each year in people younger than 50. BMC’s Jennifer Davids, MD, chief of colon and rectal surgery, hopes to get more people —especially younger people — talking about their colon health during Colorectal Cancer Awareness Month, especially when things don’t feel right. 

In this Q&A pulled from a recent conversation with HealthDay, Dr. Davids answers common questions about colorectal cancer, symptoms to watch for, and the importance of screening.

What is colorectal cancer? 

Colorectal cancer develops in the colon or rectum and most commonly starts as a growth, called a polyp, on the inner lining of the colon or rectum. It is a common type of cancer, but it’s also very preventable and treatable, especially when caught early.

What kind of symptoms should I look out for? 

Symptoms include rectal bleeding, change in bowel habits, seeing blood when you go to the bathroom, abdominal pain, weight loss, and/or fatigue. While it may feel awkward to talk about, it's really important to bring any symptoms to the attention of your primary care physician or provider. 

If I don’t have symptoms, should I still get checked? 

Yes. In response to rising rates of colorectal cancer in younger people, the American Cancer Society (ACS) dropped the prescreening age for colorectal cancer from 50 to 45 in 2018. So, it’s possible you or the people you love are overdue to start regular screenings. Any family history of colorectal cancer or polyps may prompt earlier screening. It's always best to check with your primary care physician for next steps. 

How do I talk to my family about colon health? 

We get it — people don't usually sit around the dinner table and talk about their colon polyps. Consider the time and place to have the conversation on family history and health, be on the lookout for symptoms regardless of family history, and be direct and honest about any of your concerns with your primary care physician.   

What can I do to help reduce my risk of colon cancer? 

We continue to learn more about different ways to reduce the risk of colorectal cancer.  Maintaining a healthy lifestyle is always beneficial — prioritize nutritious eating, regular exercise, avoid smoking, and limit alcohol consumption.