What are the signs and symptoms of colorectal cancer?

What are the signs and symptoms of colorectal cancer?

Unfortunately, some colorectal cancers might be present without any signs or symptoms. For this reason, it is very important to have regular colorectal screenings (examinations) to detect problems early. The best screening evaluation is a colonoscopy. Other screening options include fecal occult blood tests, fecal DNA tests, flexible sigmoidoscopy, barium enema, and CT colonography (virtual colonoscopy). The age at which such screening tests begin depends upon your risk factors, especially a family history of colon and rectal cancers.

Even if you do not have a family history of colorectal cancer or polyps, tell your doctor if you have any of the signs that could indicate a colorectal cancer, no matter what your age. Common signs of colorectal cancer include the following:

  • Change in bowel habits: Constipation, diarrhea, narrowing of stools, incomplete evacuation, and bowel incontinence — although usually symptoms of other, less serious problems — can also be symptoms of colorectal cancer.
  • Blood on or in the stool: By far the most noticeable of all the signs, blood on or in the stool can be associated with colorectal cancer. However, it does not necessarily indicate cancer, since numerous other problems can cause bleeding in the digestive tract, including hemorrhoids, anal tears (fissures), ulcerative colitis, and Crohn's disease, to name only a few. In addition, iron and some foods, such as beets, can give the stool a black or red appearance, falsely indicating blood in the stool. However, if you notice blood in or on your stool, see your doctor to rule out a serious condition and to ensure that proper treatment is received.
  • Unexplained anemia: Anemia is a shortage of red blood cells— the cells that carry oxygen throughout the body. If you are anemic, you may experience shortness of breath. You may also feel tired and sluggish, so much so that rest does not make you feel better.
  • Abdominal or pelvic pain or bloating
  • Unexplained weight loss
  • Vomiting

If you experience any of these signs or symptoms, it is important to see your doctor for evaluation. For a patient with colorectal cancer, early diagnosis and treatment can be life-saving.

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