colorectal-cancer-indicators


Colorectal cancer is one of the most common cancers worldwide, but it is not usually diagnosed at its early stages. One of the biggest challenges with colorectal cancer is that its symptoms are very easy to be confused with less severe conditions. However, two of the most important warning signs—blood in stool and changes in bowel habits—must never be ignored. Understanding these indicators can lead to early detection, timely treatment, and improved survival rates.


Understanding Colorectal Cancer


Colorectal cancer begins in the colon or rectum and commonly develops from polyps—small growths which may become cancerous over time. Some cases, however, are due to genetic factors, but lifestyle choices like diet, exercise, and smoking habits equally contribute to its development.


The Significance of Early Detection


Early stages of colorectal cancer are very responsive to treatment, and chances of survival greatly improve if the diagnosis is made early. Blood in stool and changes in bowel habits should prompt immediate medical evaluation, as these may indicate precancerous polyps or early-stage cancer.


Causes of Blood in Stool

Blood in the stool can be frightening, but it is not always cancer. Other benign causes of bleeding include hemorrhoids, anal fissures, and inflammatory bowel disease disease (IBD). However, any persistent or unexplained bleeding in the stool should always be investigated.


How Colorectal Cancer Causes Bleeding

Colorectal tumors bleed as they expand and invade adjacent tissues. The bleeding may be:

  • Bright red blood, especially if there’s some association with rectal or lower colon cancer
  • Dark red or black stools, indicative of bleeding further up the digestive tract
  • Occult blood, which cannot be seen but is detected by tests

When to Visit a Doctor


Blood in stool can be either bright red, dark, or mixed with mucus. If you detect the presence of blood in your stool, seek a doctor’s consultation. A stool test, colonoscopy, or any imaging study can identify the cause.


Changes in Bowel Habits: A Sign of Concern


What Constitutes a Bowel Habit Change?


A change in bowel habits may signify colorectal cancer if it occurs suddenly or persists for more than a few weeks. Key changes are:


  • Diarrhea that persists for longer than two days or constipation
  • Sense of not finishing bowel evacuation
  • Urgency and discomfort while evacuating the bowels without apparent reasons

Why Do Cancer Cause Altered Bowel Habits?


As the tumour in the colon or rectum increases, it may obstruct passage of the feces partly, resulting in a variable size and content of the stools. It could also impair digestive function that sometimes leads to a disturbed bowel.


When to Seek Medical Attention


If bowel habit changes persist for longer than two weeks, particularly with the symptoms of blood in stool, unexplained weight loss, or abdominal pain, the patient must visit the doctor.


Other Symptoms to Watch For

Though blood in stool and bowel habit changes are the primary warning signs, there may be other symptoms of colorectal cancer:

  • Unexplained weight loss
  • Repeated stomach cramps or pain
  • Aches and weakness
  • Iron-deficiency anemia (low red blood cell count due to chronic bleeding)

Diagnostic Tests for Colorectal Cancer


1. Colonoscopy and Biopsy


Colonoscopy is the gold standard for detecting colorectal cancer, taking biopsies, and removing precancerous polyps. It allows direct visualization of the colon and rectum.


2. Imaging Tests


CT, MRI, and PET scans are used to assess the extent of the disease, evaluate loco-regional spread, and rule out any metastatic cancer.


3. Tumor Markers


Carcinoembryonic antigen is a tumor marker, which is usually elevated in colorectal cancer. Blood tests to determine the level of CEA may estimate the disease burden and follow up on treatment.


Lowering Your Chances of Colorectal Cancer


1. Healthy Diet


  • High fiber intake: fruits, vegetables, and whole grains.
  • Limit intake of red and processed meat.
  • Food rich in antioxidants and omega-3 fatty acids .

2. Physical Activity


Regular exercise helps regulate digestion and reduces inflammation, lowering cancer risk.


3. Avoid Smoking and Excess Alcohol


Tobacco and heavy alcohol consumption increase the risk of colorectal cancer.


4. Get Regular Screenings


Routine screening is crucial, especially for those over 45 or with a family history of colorectal cancer. Early detection through colonoscopies can prevent cancer from developing.


Blood in stools and bowel movement changes should never be overlooked as symptoms. Sometimes, such presentation may not portend a significant matter, but with others, such presentation could pose a problem due to the danger of cancer; thus, timely presentation to the right medical attention plus regular screenings become the way through which patients should be advised towards making proper time for a general check-up since such can tell much.

Dr. Harshit Srivastava

Master course in Laparoscopic Liver Resections, Institute of Medical and Minimal Access Surgery Training Mumbai