Colorectal cancer is the second leading cause of cancer-related deaths in the U.S., yet it’s also one of the most preventable cancers with regular screenings. The American Cancer Society recommends that adults at average risk start screening at age 45, with earlier screening for those at higher risk due to family history or other factors. Despite the importance of this, many people put off getting screened due to fear, embarrassment, or misconceptions about the procedure.
Why Colorectal Cancer Screening Matters
Colorectal cancer often develops from polyps in the colon or rectum. Polyps can exist without symptoms, meaning that by the time symptoms may start to arise—like rectal bleeding, persistent abdominal pain, or unexplained weight loss—the cancer may already be advanced.
Screening tests can detect cancer markers early, allowing doctors to address them before they turn into cancer. The most common types of screening include:
- Colonoscopy – The preferred method of colorectal cancer screening, where a small camera examines the entire colon and rectum and allows polyps to be removed on the spot.
- Stool-based tests – At-home tests like the FIT (Fecal Immunochemical Test) that detect hidden blood or DNA markers of cancer. If these show up as positive, it is possible that you will need to do a diagnostic colonoscopy.
Overcoming Your Fears and Scheduling Your Screening
If fear or embarrassment has been holding you back, remember you’re taking control of your health. Here are a few ways to make the process easier:
- If you’re anxious, let your healthcare provider know. They can address concerns and offer reassurance.
- Bring a support person. Having a friend or family member with you can help ease nerves, plus, you’re going to need a driver.
- Focus on the bigger picture. A few moments of awkwardness are far better than facing a late-stage cancer diagnosis. When you go in for a colonoscopy, you’re covered as much as possible with a hospital gown and likely sedated.
Worried about the prep?
It’s a necessary step to help clean out the colon so that the procedure team can have a clear view and make sure there are no concerns. It also makes is easier to see polyps and any abnormalities. The prep consists of clear liquids and colon cleansing aids. For more information on what to expect before a colonoscopy, you can download an informational brochure here.
Colorectal cancer screening is a simple step that could save your life. Don’t let embarrassment stand in the way of your health!
A closing piece of advice from Karin Cole, MD, Northern Light Mercy General Surgery “If you’re due for colorectal cancer screening, don’t skip it! Getting screened is the number one preventive measure we can take to protect ourselves. I would encourage everyone reading this to talk to their primary care provider and come up with a plan today.”