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Signs of bowel cancer are not usually present in the early stages of bowel cancer. This results in delayed diagnosis and can present to late on in the conditions course with symptoms of a bowel obstruction. The symptoms of bowel cancer can be diverse and include non-specific symptoms such as tiredness. If you are going off your food (known as anorexia), develop iron deficiency anaemia, start loosing weight, have a change in your bowel habit such as new onset of diarrhea or constipation, develop mucus (a salivary type substance from the back passage), wind or bloating symptoms and bleeding then these all need investigating further.
The problem with all these signs of bowel cancer is they're not exclusive to cancer. They are common to a lot of other bowel conditions including Irritable Bowel Syndrome (although there is NO increased bowel cancer risk with this condition) and inflammatory bowel disease (ulcerative colitis and crohn’s disease - both increase bowel cancer risk).Who Develops Bowel Cancer Symptoms?Anyone can develop bowel cancer and this is why it is such a common cancer. However, certain people are at increase and I will outline these for you. Bowel cancer is most common in people over the age of 50 years (90% of cases) and 8 out of 10 are over the age of 60 years. It is slightly more common in men (1 in 18) in comparison to women (1:20). Whilst unusual, young people can develop the bowel cancer mainly due to genetic or inheritance reasons. The two main conditions are: 1) Familial adenomatous polyposis (FAP), a condition that usually occurs in people under the age of 40 years and is characterised by multiple polyps in the colon (often in the 1000’s). 2) Hereditary non-polyposis colon cancer (HNPCC) which normally develops in people under the age of 50. What Causes Bowel Cancer And What Are The Risk Factors For Bowel Cancer?
There are many causes of bowel cancer. These include: 1) Age – as outlined 2) FH – as outlined 3) Obesity – poor diet and lack of exercise 4) Alcohol 5) Smoking 6) Exposure to radiation 7) Other conditions that increase risk, e.g. ulcerative colitis, Crohn’s disease, Sclerosing Cholangitis. What Conditions Can Mimic Bowel Cancer Symptoms?Many conditions may mimic the early symptoms of bowel cancer and these may include: Hemorrhoids Anal fissure – tear in the anus IBS (Irritable Bowel Syndrome) Inflammatory bowel disease Ischaemic colitis (poor blood supply to the gut) Diarrheal illnesses e.g. infections and small bowel diseases. How can Bowel Cancer be prevented?Bowel cancer survivability depends on many different factors. Most bowel cancers develop from polyps or adenomas. These are ‘cherry-like’ protuberances in the bowel which change into pre-cancer polyps or ‘dysplastic polyps’ and then cancer as they grow. These polyps can cause bleeding or produce bowel mucus in some. These bowel cancer symptoms are not always present however. An example of a polyp can be seen here:
These polyps can be removed quite easily by snaring or hot biopsy. To do this a colonoscopy is performed (flexible camera test to look into the large bowel). Here is a picture of a polypectomy or polyp removal by snare technique:
Bowel cancer screening may increase cancer survival. Screening programs are targeting people at increased risk, particularly over the age of 50 with investigations such as fecal occult blood testing (testing the stool for blood) rather than leaving it until an individual is suffering bowel cancer symptoms. The use of a Colonoscopy, flexible sigmoidoscopy and x-ray tests such as CT colonography have been employed to detect them. Targeting those with known risks such as inflammatory bowel disease and family history are also very important. Treatment For Bowel Cancer Symptoms?The main treatment for bowel cancer is surgery. Depending on the stage of disease, other treatments such as radiotherapy and chemotherapy maybe required too. Disease staging is based on the degree of spread of tumour. It is classified according to the TNM or Tumor, Node, Metastasis classification. This staging system provides you with a statistical chance of survival and I have outlined this below for you: Stage 1 - 93% 5 year survival Stage 2a - 85% 5 year survival Stage 2b - 72% 5 year survival Stage 3a - 83% 5 year survival Stage 3b - 64% 5 year survival Stage 3c - 44% 5 year survival Stage 4 - 8% 5 year survival Preventing Bowel Cancer And Bowel Cancer Symptoms?You can lower your risk by changing your lifestyle (stop smoking, reduce alcohol consumption, improve your diet and take regular exercise). If you develop bowel cancer symptoms, you should seek medical advice as soon as possible. I have listed the symptoms again for your convenience: Signs of Bowel cancer: 1) Tiredness 2) Off food (anorexia) 3) Weight loss 4) Change in bowel habit (diarrhea, constipation, bleeding, bloating, wind). In summary, bowel cancer symptoms in the early stages will allow early diagnosis, increase bowel cancer survival and reduce deaths due to this very common cancer, particularly in conjunction with bowel cancer screening and surveillance. Other Pages On This Site That May Interest You-
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