A concerning trend is emerging: colorectal cancer is shifting from the fifth leading cause of cancer death in the 1990s to the number one killer for those under 50, according to new analysis from the American Cancer Society.
The ‘Birth Cohort Effect’
The data reveals a paradox. While mortality rates are decreasing by 2% annually for those over 65 due to early screening, the risk is increasing for younger generations. Rebecca Siegel, epidemiologist and lead author of the research at the American Cancer Society, describes this as a worrying ‘birth cohort effect.’ Individuals born after 1950 appear to have been exposed to risk factors less common among their parents.
While the exact cause is still under investigation, Siegel and her team point to changes in our food supply, such as the rise of ultra-processed foods and microplastics potentially reaching the intestinal wall.
“I Thought It Was Stress”
Becca Lynch, 29, from the US, shares in the report that she dismissed her narrow stools and blood loss until she reached stage 3B. Her message is universal: “I now openly talk about my bowel movements because I don’t want others to create the same mistake.”
The Link to the Netherlands: Why Wait Until 55?
This news from the US highlights a critical issue in Dutch policy. The Netherlands currently begins its population screening program at age 55. This lags behind the European guideline of 50 and disregards the global shift now contributing to this concerning milestone in the US.
Gastro-enterologist Dr. Luc Colemont previously warned: “Starting at age 55 is too late in all respects.” The American report reinforces his point. Approximately three-quarters of young patients are diagnosed at an advanced stage, simply because of the lack of early screening and symptoms often being mistaken for hemorrhoids or stress.
What You Need to Know Now
Regardless of whether the Dutch government lowers the screening age, your own vigilance is your best defense. Pay attention to these five warning signs:
- Changed bowel habits: Such as ‘pencil-thin’ stools.
- Blood in the stool: Never assume it’s hemorrhoids.
- Persistent abdominal pain or cramps.
- Unexplained weight loss.
- Extreme fatigue: This can indicate internal blood loss.
If you experience these symptoms, don’t wait for the screening invitation, but consult your doctor. You are never too young to take your health seriously.
Reviewed by:
Dr. Luc Colemont is a gastroenterologist and the founder of vzw Stop Darmkanker. He is internationally recognized as a leading expert in colorectal cancer prevention. Since leaving the hospital to focus solely on education, he has given more than 800 lectures in 20 countries, written several books on the subject, and launched the podcast ‘The Big Message’.
The Guardian, Archief Gezondnu Adobe Stock
