How to detect colorectal cancer early

Written by Yan Chun
Oncology
Updated on December 29, 2024
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In clinical practice, to detect colorectal cancer early, screening should be prioritized for individuals with a family history of colorectal cancer. This generally involves tests for tumor markers and colonoscopy examinations. The tumor markers include carcinoembryonic antigen, carbohydrate antigen 724, carbohydrate antigen 199, and carbohydrate antigen 125, among others. Colonoscopy examinations should be conducted annually. Furthermore, for individuals with colorectal polyps, yearly colonoscopy is especially recommended to detect early stages of colon cancer. Similarly, for individuals suffering from chronic inflammatory diseases of the colon and rectum such as ulcerative colitis or Crohn's disease, colonoscopy examinations should also be performed to facilitate early detection of colorectal cancer.

Other Voices

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Is rectal bleeding an indication of rectal cancer?

Rectal bleeding is not necessarily colorectal cancer; there are several reasons for rectal bleeding: First, caused by constipation, which leads to difficulty during bowel movements and tearing of the anal mucosa, resulting in bleeding. Second, ulcerative colitis, which commonly presents symptoms such as abdominal pain, diarrhea, and blood and mucus in the stool. Third, rectal or colon cancer, where the main symptoms also include abdominal pain, changes in stool characteristics, and rectal bleeding. Fourth, ischemic bowel disease, generally seen in older patients with some cardiovascular and ischemic diseases, where symptoms mainly include significant abdominal pain and rectal bleeding. Therefore, not all cases of rectal bleeding are due to rectal cancer; there are many causes, and it is essential to diagnose clearly before treatment.

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Hemorrhoids bleeding and rectal cancer differences

The difference between hemorrhoids bleeding and colorectal cancer, first of all, hemorrhoid bleeding is often bright red, and generally is not mixed with stool, such as blood on paper, blood droplets, and in severe cases, gushing bleeding which may cause symptoms of anemia, and it is not significantly related to stool, meaning it is not very mixed. However, sometimes, bleeding caused by irritating hemorrhoids during defecation might be slightly mixed, but generally, it is not. As for colorectal cancer, if bleeding occurs, it is often in the later stages and the blood is usually dark red or purple-red, generally not in large amounts, and it is often mixed with stool. You might also see mucus and pus. Therefore, if there is bleeding, we recommend promptly undergoing a colonoscopy to avoid missing a diagnosis of colorectal cancer.

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What is good to eat after rectal cancer surgery?

Patients who have undergone surgery for rectal cancer should pay attention to the following points regarding their diet: First, consume a moderate amount of foods containing monounsaturated fatty acids, such as olive oil and tuna. Second, avoid overheating animal products and vegetable oils during cooking. Third, eat more foods rich in dietary fiber, such as konjac, soy and its products, fresh vegetables and fruits, and algae. Fourth, intake vitamins and trace elements by eating fresh vegetables and fruits to supplement carotene and vitamin C, and consume appropriate amounts of walnuts, peanut milk, products, and seafood to supplement vitamin E. Pay attention to the intake of foods rich in the trace element selenium, such as malt, fish, and mushrooms.

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What are the late-stage symptoms of rectal cancer?

The late-stage symptoms of rectal cancer patients in clinical practice mainly include the following types. The first type is abdominal symptoms caused locally by rectal cancer. For example: bloody stools, pass stools with mucous and pus, anal pain, bloating, abdominal pain, and other manifestations. The second category of symptoms is those from metastases in various locations. For example, bone metastases cause bone pain and limb movement disorders. Lung metastases cause chest tightness, shortness of breath after activity, chest pain, breathing difficulties, coughing and coughing up blood, etc. Brain metastases cause headaches, dizziness, and seizures. The third category of symptoms is mainly systemic symptoms caused by rectal cancer lesions, such as: weight loss, fatigue, and high fever.

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Is a rectal polyp the same as rectal cancer?

Rectal polyps and rectal cancer are two different diseases, so it cannot be assumed that rectal polyps are rectal cancer. Rectal polyps are relatively common in clinical practice, especially among middle-aged and young patients, as they are often incidentally found during colonoscopy due to abnormal stools or abdominal discomfort. Generally, rectal polyps are small, ranging from a few millimeters to a maximum of one centimeter. Most rectal polyps are benign lesions, which can be managed with regular follow-ups or removed via endoscopy. Rectal cancer is generally considered a malignant tumor of the rectum, more commonly seen in older patients, who often exhibit alarming symptoms such as abdominal pain, rectal bleeding or abnormal stools, and in some cases, weight loss. Typically, malignant lesions in the rectum and tumor-like changes can be detected under colonoscopy. The main treatments include chemotherapy and surgical intervention.