[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/share-dev.upmc.com\/2019\/03\/colorectal-cancer-treatments-symptoms\/#Article","mainEntityOfPage":"https:\/\/share-dev.upmc.com\/2019\/03\/colorectal-cancer-treatments-symptoms\/","headline":"Treatment and Warning Signs for Colorectal Cancer","name":"Treatment and Warning Signs for Colorectal Cancer","description":"Learn about warning signs for colorectal cancer, as well as treatment and preventive measures.","datePublished":"2019-03-04","dateModified":"2023-01-10","author":{"@type":"Organization","@id":"https:\/\/hillman.upmc.com\/","name":"UPMC Hillman Cancer Center","url":"https:\/\/hillman.upmc.com\/","sameAs":"https:\/\/share-dev.upmc.com\/upmc-hillman-cancer-center\/","parentOrganization":"UPMC"},"publisher":{"@type":"Organization","name":"UPMC HealthBeat","logo":{"@type":"ImageObject","@id":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2019\/04\/UPMC-HealthBeat-Logo.png","url":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2019\/04\/UPMC-HealthBeat-Logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2018\/12\/colorectal-cancer.jpg","url":"https:\/\/share-dev.upmc.com\/wp-content\/uploads\/2018\/12\/colorectal-cancer.jpg","height":327,"width":754},"url":"https:\/\/share-dev.upmc.com\/2019\/03\/colorectal-cancer-treatments-symptoms\/","about":["Cancer Care","Living and Wellness"],"wordCount":957,"keywords":["colon cancer","colorectal cancer"],"articleBody":"Colorectal cancer is the third most commonly diagnosed cancer in the United States, according to the American Cancer Society. Knowing your risk and receiving the recommended screenings are important first steps in prevention.In the following guide,\u00a0Haroon Choudry, MD, surgical oncologist,\u00a0UPMC Hillman Cancer Center, shares warning signs and facts about colorectal cancer.Facts About Colorectal Cancer\u201cColorectal cancer occurs when malignant cells form in the tissues of the colon and rectum,\u201d Dr. Choudry says.More than 95% of colorectal cancer cases begin with precancerous growths called adenomatous polyps. Removing these growths before they become cancerous can reduce your risk of cancer. Doctors can find these growths only through regular colorectal cancer screenings.\u201cWith early detection, doctors can successfully treat more than 90% of people with colon cancer,\u201d Dr. Choudry says. \u201cA colonoscopy is one test we use to detect polyps and colon cancers in the lining of the colon and the rectum, especially before polyps become cancers.\u201dDoctors can remove potentially cancer-causing polyps during a colonoscopy.Average-risk people over age 45 should receive regular screenings, including a colonoscopy, every 10 years. Other screening options include:Flexible sigmoidoscopyStool testsVirtual colonoscopyScreening methods usually cause minimum discomfort, Dr. Choudry says. No matter what method of screening you use, the testing will help to significantly reduce your risk of dying from cancer.Preventing Colorectal CancerAlong with regular screenings, there are other ways you can reduce your risk. Dr. Choudry notes that the following increase your risk of colorectal cancer:Heavy drinking.High-fat, high-protein, low-fiber diet.Smoking.Addressing these habits can decrease the risk of colon cancer by as much as 30%. Dr. Choudry recommends a balanced diet with plenty of fruits and vegetables. Hydration also aids in prevention by alleviating constipation and cleansing the bowels.Warning Signs for Colorectal CancerEveryone, young and old, should keep these symptoms in mind:\u201cWatch out for blood in your stool or a lot of black stools,\u201d Dr. Choudry says. \u201cAnd if you get blood work done and find out you are anemic, meaning your hemoglobin level is low, that can be an indication that a cancer is growing.\u201dAnother important symptom is a change in your \u201cstool caliber,\u201d meaning the size or frequency of your stools.\u201cIf you used to have one bowel movement a day, and now you are not having one for days on end, that\u2019s a red flag,\u201d Dr. Choudry says.Subtler signs include:Fatigue.Unexplained weight loss.Weakness.Dr. Choudry says that although pain is not one of the bigger signs of colon cancer, you should take note of stomach discomfort. Pain is usually a symptom only of late-stage colorectal cancer.If you notice a change in your bowel habits, you may want to schedule an appointment with your doctor to discuss the symptoms. If you\u2019re over age 45, you\u2019ll likely need a colonoscopy. But if you are younger and experiencing a change, you will probably just need to assess your diet or lifestyle.It\u2019s also crucial to tell your doctor about past digestive issues. Conditions like\u00a0Crohn\u2019s Disease\u00a0or\u00a0ulcerative colitis\u00a0may increase your risk for colon cancer, but a past diagnosis of\u00a0irritable bowel syndrome\u00a0does not increase your risk.Is Colorectal Cancer Treatable?Though prevalent, colon cancer is treatable. Your doctor will discuss which of the several treatment options may be best for you.\u201cTreatment-wise, no colorectal cancer is the same, and a diagnosis affects each person differently,\u201d Dr. Choudry says. \u201cTreatment can involve surgery, chemotherapy, radiation therapy, or a combination of these treatments, and it may include clinical trials.\u201dSurgery for colorectal cancerSurgery generally is the first option for early-stage colorectal cancer. Doctors can perform different procedures depending on the stage, size, and location of the tumor:Laparoscopic colonic resection: This minimally invasive procedure removes all or part of the colon and some surrounding lymph nodes. Doctors make keyhole-sized incisions and use advanced imaging and small instruments to remove the tumor. This allows for a shorter recovery time.Open colonic resection: This requires a larger incision. Surgeons remove all or part of the colon and some surrounding lymph nodes. Because a larger cut is required, recovery can take longer.Low anterior resection: This surgery for rectal cancer removes the part of the rectum with the tumor. Doctors then attach the colon to the remaining part of the rectum to keep normal bowel function.Abdominoperineal resection (APR): Surgeons remove the rectum, anus, and surrounding tissues like the sphincter muscle. The removal of the anus means the patient will need a permanent colostomy. The colon is attached to an opening in the skin of the abdomen, allowing stool to leave the body.More advanced technologies have allowed for procedures that preserve normal bowel function, including:Local excision: This procedure requires no cuts through the abdomen; instead, doctors remove the tumor through the anus.Neoadjuvant therapy: Doctors use radiation and chemotherapy to shrink the tumor before surgery.Chemotherapy for colorectal cancerIn chemotherapy, doctors use anti-cancer drugs or chemicals to kill or shrink tumors. They can be used alone or in combination with surgery and radiation. You can receive chemotherapy both before surgery and after.For colorectal cancer that has spread to the abdominal cavity, doctors can give high concentrations of chemotherapy to the cancer\u2019s direct site. The procedure is known as hyperthermic intraperitoneal chemoperfusion (HIPEC).Radiation for colorectal cancerRadiation uses high-dose x-rays to kill or shrink cancer cells. It can be used alone or in combination with other treatments.The use of radiation therapy is more common for rectal cancer than for colon cancer.Editor's Note: This article was originally published on March 4, 2019, and was last reviewed on June 9, 2022.SourcesAmerican Cancer Society. Treating Colorectal Cancer.  National Cancer Institute. Colorectal Cancer.  "},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"2019","item":"https:\/\/share-dev.upmc.com\/2019\/#breadcrumbitem"},{"@type":"ListItem","position":2,"name":"03","item":"https:\/\/share-dev.upmc.com\/2019\/\/03\/#breadcrumbitem"},{"@type":"ListItem","position":3,"name":"Treatment and Warning Signs for Colorectal Cancer","item":"https:\/\/share-dev.upmc.com\/2019\/03\/colorectal-cancer-treatments-symptoms\/#breadcrumbitem"}]}]