{"id":18747,"date":"2022-03-24T20:12:05","date_gmt":"2022-03-24T20:12:05","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=18747"},"modified":"2025-02-28T22:45:05","modified_gmt":"2025-02-28T22:45:05","slug":"colorectal-cancer-screening-why-you-need-it-what-its-like-and-how-care-has-changed","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/colorectal-cancer-screening-why-you-need-it-what-its-like-and-how-care-has-changed\/","title":{"rendered":"Colorectal cancer screening: Why you need it, what it\u2019s like and how care has changed \u00a0","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

It\u2019s not an experience that most people look forward to, yet a colonoscopy may just save your life. According to the American Cancer Society, colorectal cancer is the second-leading cause of cancer-related deaths in U.S. adults<\/a> when numbers for men and women are combined.<\/p>\n

Screenings, such as colonoscopies, can detect and address colorectal cancer early, when it\u2019s easily treatable. For many years, the recommendation was to start colorectal cancer screenings at the age of 50, but in spring 2021 the U.S. Preventive Services Task Force (USPSTF) updated its guidance<\/a>.<\/p>\n

\u201cThanks to the success of screening, there\u2019s been a decline in colorectal cancer for those 50 and older,\u201d says Dan Lawson, MD<\/a>, a gastroenterologist and interventional endoscopist at MultiCare Rockwood Clinic. \u201cHowever, the incidence of colorectal cancer has been rising in younger age groups since the 1990s. That\u2019s why the USPSTF now recommends that most people should start getting screened at 45, instead of 50.\u201d<\/p>\n

The screening timeline for colorectal cancer<\/a> isn\u2019t the only thing that\u2019s changed in recent years. There have been advances in every aspect of colorectal cancer care, from new screening options to improved surgical treatments.<\/p>\n

What happens during a colonoscopy?<\/h2>\n

So, why all the fuss about colorectal cancer screening in the first place?<\/p>\n

\u201cIt\u2019s one of the most therapeutic screenings you can get,\u201d says Laila Rashidi, MD, FACS, FASCRS<\/a>, a colorectal cancer surgeon at MultiCare. \u201cThrough screening, we can find these small abnormal growths called polyps and remove them before they have the opportunity to develop into cancer.\u201d<\/p>\n

The gold standard when it comes to colorectal cancer screening is the colonoscopy: a procedure where a gastroenterologist or surgeon inserts a thin flexible tube (or scope) with a camera into the rectum to investigate the lining of the colon. If polyps are found, they are removed and may be sent to a lab for testing.<\/p>\n

\u201cMany people worry about pain or discomfort during this low-risk procedure,\u201d says Dr. Lawson. \u201cHowever, the scopes we use are very small, plus a person is typically sedated for a colonoscopy, so they aren\u2019t even aware that it\u2019s taking place. In nearly all cases, the procedure is pain-free both during and afterward.\u201d<\/p>\n

The physician performing your colonoscopy can walk you through the different types of sedation available. Most are short-acting. While you won\u2019t be able to drive yourself home afterward, recovery is minimal and grogginess does not linger.<\/p>\n

Another aspect of the colonoscopy process that many people dread is the preparation. In addition to dietary restrictions, this process involves taking a medication starting the night before the procedure that cleanses the bowels.<\/p>\n

\u201cIt used to be that patients had to drink large quantities of a liquid that didn\u2019t taste so good and could cause some nausea,\u201d says Dr. Rashidi. \u201cBut there are more, better-tasting options for patients to choose from now \u2014 some that are low-volume or even come in tablet form.\u201d<\/p>\n

Other options for colorectal cancer screening<\/h2>\n

While a colonoscopy is the gold standard, it isn\u2019t the only option when it comes to screening for colorectal cancer. Some people may feel a colonoscopy is too invasive or they may not want to take time off from work to do the procedure.<\/p>\n

Other options include home testing kits, where you take a stool (poop) sample and mail it to a lab for analysis, but if it comes back positive, you\u2019ll need to schedule a colonoscopy. Home test kits may or may not be covered by your insurance, so it\u2019s a good idea to check before purchasing one.<\/p>\n

Another screening option is flexible sigmoidoscopy<\/a>. It\u2019s similar to a colonoscopy except it only examines the lower part of the colon and does not require sedation, so a person is able to drive themselves home afterward.<\/p>\n

Talk to your doctor or other health care provider about what screening options<\/a> might be best for you. People with no risk factors only need to undergo a colonoscopy every 10 years.\u00a0If you have a family history of colorectal cancer or other risk factors<\/a>, then you may need to undergo more frequent screening. Screening methods other than colonoscopies, such as home-based stool tests, typically need to be completed more often than every 10 years.<\/p>\n

What if you are experiencing symptoms?<\/h2>\n

Colonoscopies are part of routine cancer screening; however, they are also a useful diagnostic tool if you have symptoms of colorectal cancer.<\/p>\n

\u201cOne of the most common symptoms I see in my practice, particularly among younger people, is blood in the stool,\u201d says Dr. Rashidi. \u201cPeople often dismiss it as hemorrhoids at first, only to find out a few months later that it’s cancer. If you are frequently seeing blood in your stool, then talk to your primary care doctor or make an appointment with a gastroenterologist.\u201d<\/p>\n

Other common symptoms of colorectal cancer<\/a> include changes in bowel habits, such as frequent diarrhea or constipation, persistent abdominal pain and unintentional weight loss.<\/p>\n

Treatment advances for colorectal cancer<\/h2>\n

If a colonoscopy or another screening method reveals more than a small precancerous polyp, then you may be wondering what happens next.<\/p>\n

Treatment for colorectal cancer depends on a variety of factors, including the location of the cancer, its type, how advanced it is as well as the overall status of your health. One common approach to treatment is surgery, which, like colorectal cancer screening, has come a long way.<\/p>\n

\u201cWe do far fewer big open surgeries for colorectal cancer these days,\u201d says Dr. Rashidi. \u201cInstead, we often rely on minimally invasive techniques such as robotic surgery. These approaches allow us to be very precise. Patients tend to have great outcomes, fewer complications, smaller incisions and faster recoveries.<\/p>\n

\u201cThe average length of a person\u2019s hospital stay after colorectal surgery now is one to three days,\u201d she continues, \u201cbut some select patients can even be discharged the same day.\u201d<\/p>\n

If you have been putting off colorectal cancer screening or are experiencing symptoms of colorectal cancer, now is the time to reach out to your provider<\/a>.<\/p>\n

The Affordable Care Act<\/a> (ACA) requires insurance companies to cover the costs of colorectal cancer screenings, but the law doesn\u2019t apply to health plans in place before the ACA was passed in 2010. It\u2019s a good idea to verify coverage for colorectal cancer screenings with your insurance company first, particularly if you are under the age of 50.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

It\u2019s not an experience that most people look forward to, yet a colonoscopy may just save your life. According to the American Cancer Society, colorectal cancer is the second-leading cause of cancer-related deaths in U.S. adults when numbers for men and women are combined. Screenings, such as colonoscopies, can detect and address colorectal cancer early, […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":367,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[43,127],"tags":[],"class_list":["post-18747","post","type-post","status-publish","format-standard","hentry","category-cancer","category-healthy-living"],"acf":[],"yoast_head":"\nColorectal cancer screening: Why you need it & what it's like - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Colorectal cancer is the third-leading cause of cancer-related deaths in U.S. adults, and you should begin screening at age 45 or 50.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/updates-www.mccdn.io\/vitals\/colorectal-cancer-screening-why-you-need-it-what-its-like-and-how-care-has-changed\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Colorectal cancer screening: Why you need it & what it's like - 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