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The Rising Tide of Bowel Cancer in Younger Adults: What You Need to Know
Bowel cancer, historically considered a disease of older adults, is now increasingly affecting individuals under the age of 50. Cases have risen by 50 percent since the mid-1990s, with over 2,400 to 2,600 new diagnoses annually in the UK. This makes it the second biggest cancer killer in Britain, prompting urgent calls for increased awareness and earlier detection.
Why the Increase in Younger Patients?
The reasons behind this concerning trend are complex and still under investigation. While lifestyle factors like diet and exercise likely play a role, the increase is occurring even in individuals who maintain healthy habits. As actor James Van Der Beek tragically demonstrated, even those in excellent cardiovascular shape can be affected. He was diagnosed with stage three colorectal cancer in 2023 and sadly passed away earlier this year.
A significant barrier to early diagnosis is a lack of awareness. A 2020 report revealed that 50 percent of younger people surveyed were unaware they could develop bowel cancer before a diagnosis. This highlights the need to dispel the myth that it’s solely an older person’s disease.
Recognizing the Symptoms: Don’t Ignore the Signals
Early detection is crucial for successful treatment. It’s vital to be aware of the potential symptoms, which can include:
- Changes in your pooing habits (diarrhoea or constipation that isn’t usual for you)
- Bleeding from your bottom or blood in your poo
- Feeling like you need to poo even after you’ve just been
- Tummy pain
- A lump in your tummy
- Bloating
- Unexplained weight loss
- Feeling very tired
It’s important to remember that experiencing one or more of these symptoms doesn’t automatically mean you have bowel cancer, as they can be indicative of other conditions. However, persistent symptoms lasting three weeks or more warrant a visit to a doctor.
What to Expect at Your GP Appointment
Your doctor will likely ask about your medical history, family history of bowel cancer, and the specifics of your symptoms. They may perform a physical examination, including feeling your tummy and potentially a rectal examination. This involves a gloved finger examination to check for any abnormalities.
Depending on your symptoms, your GP may request an at-home test called a faecal immunochemical test (FIT). This test checks for hidden blood in your stool.
The Importance of Early Testing
The American Cancer Society reported in 2019 that 20 percent of diagnoses were in patients under age 55, with advanced disease increasing by about three percent annually in younger adults. Early testing can significantly improve outcomes.
As Yale Medicine experts advise, any change in bowel habits, rectal bleeding, unexplained weight loss, or persistent abdominal pain should be investigated promptly, even in younger individuals.
Frequently Asked Questions
Q: Is bowel cancer hereditary?
A: Family history can increase your risk, but most cases are not directly inherited.
Q: What lifestyle changes can reduce my risk?
A: Maintaining a healthy weight, eating a balanced diet rich in fiber, limiting processed meats, and regular physical activity can help reduce your risk.
Q: How often should I secure screened?
A: Screening recommendations vary based on age and risk factors. Discuss the appropriate screening schedule with your doctor.
Q: What if I’m worried but don’t wish to bother my doctor?
A: It’s always better to be safe than sorry. Don’t hesitate to seek medical advice if you have concerns about your health.
If you’ve been affected by any of these issues and want to speak to someone in confidence, contact Macmillan’s Cancer Support Line on 0808 808 00 00, 8am–8pm seven days a week.
Stay informed, listen to your body, and don’t delay seeking medical attention if you experience any concerning symptoms. Early detection is key to improving outcomes in the fight against bowel cancer.
