Colon cancer: how to spot it early and avoid it (2024)

Mr Atif AlviSurgery

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Written by: Mr Atif Alvi

Published: 17/10/2019| Updated: 18/10/2019

Edited by: Lisa Heffernan

Early diagnosis of colon cancer is vital. Over 93% of people diagnosed with bowel cancer at an early stage survive for at least five years compared to less than 7% of those diagnosed at a later stage. Fortunately, five-year survival rates for bowel cancer have doubled over the last 40 years.

More than eight in 10 cases of bowel cancer occur in people aged 60 or over, but bowel cancer can affect people of all ages. Mr Atif Alvi talks about the early warning signs of colon cancer, the different stages and how it is currently treated.

Colon cancer: how to spot it early and avoid it (2)

What are the early warning signs of colon cancer?

Some people withbowel cancerhave the disease or are at risk of it developing before any symptoms appear.

The most common signs of colon cancer are:

  • A persistent change in bowel habits, especially going more often or looser stools
  • Bleeding from the bottom
  • Abdominal pain
  • A lump in the tummy
  • Unexplained weight loss or tiredness (anaemia)

Is there a way that colon cancer can be prevented?

Certain steps can be taken to minimise the risk of colon cancer, including:

  • Following a healthy diet. This means eating lots of fruit, vegetables, wholegrain foods and fish, and less fat, red and processed meat
  • Exercising regularly and maintaining a healthy weight
  • Giving up cigarettes
  • Controlling your alcohol intake
  • Knowing your body and how it usually functions so that you can recognise changes in your bowel habits

What happens during a colon cancer screening?

Regularbowel cancer screeninghas been shown to reduce deaths from bowel cancer by 16%. The NHS Bowel Cancer Screening Programme offers screening every two years to all men and women aged 60 – 74. The programme is designed to find people who are at risk of developing colon cancer or who have it but don’t have any symptoms.

How are the different stages of colon cancer treated?

The best treatment for bowel cancer is surgical removal. Stage one and two cancers are treated with direct surgery.

Most cases of stage three cancer are treated with either surgery first, followed bychemotherapyor if locally advanced, treated with chemotherapy and/orradiotherapyto shrink the tumour followed by surgery.

Stage four cancer is the most advanced stage, with cancer spreading to distant organs such as the liver and lungs. Treatment for this stage is usually palliative, but with modern advances in treatment, some patients can be treated. Generally, chemotherapy is offered first, followed by a resection of primary cancer, then resection of the liver or lungs, whichever has been affected by cancer.

What is remission and the chance of recurrence?

Chances of a five year survival rate are as follows:

  • Stage 1 = 93%
  • Stage 2 = 70%
  • Stage 3 = 47%
  • Stage 4 = 6.6%

For most people, cancer doesn't come back, or “recur.” However, in about 35% to 40% of people treated for colorectal cancer with surgery and with or without chemotherapy, the cancer may come back within three to five years after treatment.

After being successfully treated for cancer, follow-up appointments may be as frequent as every three months. This is because 60% to 80% of colon cancer recurrences develop within two to three years of the primary malignancy.

If you have any symptoms like those mentioned above, especially if you’re over the age of 60, make an appointment with your doctor. Find Mr Atif Alvi’s profilehere.

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Mr Atif Alvi is a highly-trained laparoscopic colorectal surgeon with his NHS practicebased atWatford General Hospital. He holds a special interest in keyhole surgery for bowel cancer, inflammatory bowel disease, hernia and gallbladder surgery for stones. He also treats proctological disorders like haemorrhoids, anal fistulas andanal fissures. He has completed a Training the Trainers course fron St Marks Hospital in colonoscopy and has been certified as a JAG - Accredited train...

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Colon cancer: how to spot it early and avoid it (4)

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By Mr Atif Alvi
Surgery

Mr Atif Alvi is a highly-trained laparoscopic colorectal surgeon with his NHS practicebased atWatford General Hospital. He holds a special interest in keyhole surgery for bowel cancer, inflammatory bowel disease, hernia and gallbladder surgery for stones. He also treats proctological disorders like haemorrhoids, anal fistulas andanal fissures. He has completed a Training the Trainers course fron St Marks Hospital in colonoscopy and has been certified as a JAG - Accredited trainer and endoscopist(colonoscopy, gastroscopy, sigmoidoscopy).

Mr Alvi has an international experience practicing in the UK and currently practising privately in King's College Hospital inDubai, United Arab Emirates.

Mr Alvi trained in the East Anglian region (Cambridge), and in London, and finished his higher surgical training (CCT) in September 2010, working in various specialties of surgery and certified specialist training in colorectal surgery. He has alsoformally completed Fellowship in Laparoscopic Colorectal surgery.

Mr Alvi has performed more than 450 open and 600 laparoscopic colorectal operations with good surgical and oncological outcomes comparable to national standards, with approximately 97% of his bowel cancer cases being performed laparoscopically.
Furthermore, Mr Alvi is an experienced endoscopist, having performed over 5000 colonoscopies with a completion rate of 97%.

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    Colon cancer: how to spot it early and avoid it (5)

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    Colon cancer: how to spot it early and avoid it (2024)

    FAQs

    Colon cancer: how to spot it early and avoid it? ›

    While in many cases, there are no obvious symptoms with colon cancer, there are some that can be warning signs and should be discussed with your physician. These include: Any major change in bowel habits. Blood in the stool that is either bright red, black or tarry.

    What is the first hint of colon cancer? ›

    While in many cases, there are no obvious symptoms with colon cancer, there are some that can be warning signs and should be discussed with your physician. These include: Any major change in bowel habits. Blood in the stool that is either bright red, black or tarry.

    How can you prevent early detection of colon cancer? ›

    Get Screened

    Getting regular screening tests for colon cancer is the single best way to protect yourself from the disease. It can catch cancer early, when it's most treatable, and help prevent the disease by finding abnormal growths called polyps that can turn into cancer.

    What is the easiest way to detect colon cancer? ›

    Colonoscopy. Colonoscopy is a procedure to look inside the rectum and colon for polyps, abnormal areas, or cancer. A colonoscope is inserted through the rectum into the colon. A colonoscope is a thin, tube-like instrument with a light and a lens for viewing.

    What are the silent signals of colon cancer? ›

    Pelvic pain may also be accompanied by other symptoms of colorectal cancer, such as changes in bowel habits (e.g., diarrhea or constipation), rectal bleeding, unintended weight loss, fatigue, and abdominal discomfort. The presence of these symptoms alongside pelvic pain may raise suspicion for colorectal cancer.

    What does stage 1 colon cancer poop look like? ›

    Pencil-thin stool is unusually long and thin, which can indicate there is a narrowing of the colon due to a cancerous tumor. Flat stool. Abnormally flattened or ribbon-like feces characterize flat stool. Tumors that change the shape of the colon or rectum can create this type of stool.

    What is colon cancer number 1 symptom? ›

    Symptoms of colon cancer can include: A change in bowel habits, such as more frequent diarrhea or constipation. Rectal bleeding or blood in the stool. Ongoing discomfort in the belly area, such as cramps, gas or pain.

    Can you beat colon cancer if caught early? ›

    When colorectal cancer is found at an early stage before it has spread, the 5-year relative survival rate is about 90%.

    How to detect colon cancer without a colonoscopy? ›

    Stool tests.

    Both polyps and colorectal cancers can bleed, and stool tests check for tiny amounts of blood in feces (stool) that cannot be seen visually. (Blood in stool may also indicate the presence of conditions that are not cancer, such as hemorrhoids.)

    What to eat to prevent colon cancer? ›

    Green leafy vegetables: kale, spinach, and broccoli, are full of natural lutein, vitamin E, beta-carotene, and calcium. Orange fruits and vegetables: carrots, cantaloupes, sweet potato, and pumpkin, contain natural beta carotene. Red fruits and vegetables: tomatoes, watermelon, and pink grapefruit contain lycopene.

    How can I rule out colon cancer at home? ›

    Fecal immunochemical test (FIT): This is an inexpensive, at-home, stool-based test that looks for proteins found in the blood. Blood in the stool could be a sign of colon cancer, and a positive FIT test would signal that you need to get a colonoscopy.

    Where is colon cancer pain felt? ›

    Many cases of colon cancer have no symptoms. If there are symptoms, the following may indicate colon cancer: Abdominal pain and tenderness in the lower abdomen.

    When should you suspect colon cancer? ›

    Pantel says, “you should get checked out if you have rectal bleeding, if you have any change in your bowel habits, any change in appetite (like feeling “full” early), weight loss, or abdominal pain that is not explained.” Your symptoms may be different than those of someone you know who had colorectal cancer.

    What is the red flag for colon cancer? ›

    Red flags included abdominal pain (odds ratio [OR] = 1.34, 95% confidence interval [CI] = 1.19 to 1.49), rectal bleeding (OR = 5.13, 95% CI = 4.36 to 6.04), diarrhea (OR = 1.43, 95% CI = 1.14 to 1.78), and iron deficiency anemia (OR = 2.07, 95% = 1.61 to 2.66).

    How does a person with colon cancer feel? ›

    Primary tumors located in the colon — and even those that have spread to other organs — can cause real pain. And patients who have a full-blown obstruction can be in a lot of pain. But those who don't might just experience some mild discomfort or even an occasional crampy feeling.

    What does colon cancer feel like in the beginning? ›

    Constipation, diarrhea, and abdominal pain can all be symptoms of colorectal cancer. But they can also be signs of other conditions, including Crohn's disease, irritable bowel syndrome and even a stomach virus.

    Does Stage 1 colon cancer have symptoms? ›

    During stage 1 of colon cancer, no obvious signs or symptoms may have developed. As symptoms develop, they may vary depending on the tumor's size and location in the large intestine. Early symptoms may affect only the colon and result in changes in bowel habits.

    How long can you have colon cancer before you realize it? ›

    Colon cancer is typically slow-growing, starting as a benign polyp that eventually becomes malignant. This process may occur over many years without producing any symptoms. Once colon cancer has developed, it may still be years before it is detected.

    What does colon cancer begin with? ›

    Polyps in the colon or rectum

    Most colorectal cancers start as a growth on the inner lining of the colon or rectum. These growths are called polyps. Polyps are quite common, especially as you get older. Most polyps are benign, or noncancerous.

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