Living with an ostomy can present many challenges. There’s the emptying and changing of your…
Gastro Girl gives talk show host Jimmy Kimmel major props for following The American College of Gastroenterology Colorectal Cancer Screening Guidelines and getting his first colonoscopy at age 50. Kimmel shared a powerful public awareness message about the importance of colorectal cancer screening along with Katie Couric, who accompanied him to the exam that aired on Tuesday’s “Jimmy Kimmel Live.”
Kimmel turned 50 in November and took Couric up on her offer to accompany him for his first colonoscopy to screen for colorectal cancer, which is the number two cancer killer among men and women combined, and the third most commonly diagnosed cancer in the United States But it’s also highly preventable and treatable.
ACG recommends that all normal-risk individuals undergo colonoscopy beginning at age 50, and age 45 for African Americans. But if you have a family history of colorectal cancer— especially in a first-degree relative, such as a parent, sibling or child—your physician may recommend earlier or more frequent screening. You should also talk with your doctor if you notice any unusual symptoms, such as rectal bleeding or a change in bowel habits.
Christina Ha, MD, a gastroenterologist at Cedars-Sinai in Los Angeles performed the exam. Dr. Ha, a member of the American College of Gastroenterology, noted that Kimmel’s “clean” colon was the result of his following and completing the colonoscopy prep which enabled her to perform a thorough examination of the colon. Although Dr. Ha reported that the exam found no sign of polyps, Couric jokingly showed Kimmel keys, toy soldiers and a harmonica that were found.
Couric’s late husband, Jay Monahan died of the disease in 1998, and she has been a leading force in colorectal cancer awareness efforts not only having the screening done on TV in 2007 but also founding Stand Up to Cancer (SU2C) with eight other women.
Are You at Risk for Colorectal Cancer?
Risk factors for colorectal cancer include age (the majority of patients are 50 or older). But other risk factors include having been diagnosed with inflammatory bowel disease, such as Crohn’s or ulcerative colitis; a family history of colorectal cancer; or a genetic predisposition to colorectal cancer showing up as such syndromes as familial adenomatous polyposis or Lynch syndrome.
You’re also at greater risk if you eat a low-fiber, high-fat diet, are obese, use tobacco, drink alcohol, eat few fruits or vegetables, and have a sedentary lifestyle.
The cause of colorectal cancer in most cases is unclear. However, most colorectal cancers develop from polyps, which are abnormal growths in the colon. If polyps grow unnoticed and are not removed, they may become cancerous. Screening tests can find precancerous polyps so they can be removed before they turn into cancer. The development of more than 75-90 percent of colorectal cancer can be avoided through early detection and removal of pre-cancerous polyps.
Most early colorectal cancers produce no symptoms. This is why screening for colorectal cancer is so important. Symptoms of colorectal cancer vary depending on the location of the cancer within the colon or rectum, though there may be no symptoms at all. The prognosis tends to be worse in symptomatic as compared to asymptomatic individuals.
The most common presenting symptom of colorectal cancer is rectal bleeding. Cancers arising from the left side of the colon generally cause bleeding, or in their late stages may cause constipation, abdominal pain, and obstructive symptoms. On the other hand, right-sided colon lesions may produce vague abdominal aching, but are unlikely to present with obstruction or altered bowel habit. Other symptoms such as weakness, weight loss, or anemia resulting from chronic blood loss may accompany cancer of the right side of the colon. You should promptly see your doctor when you experience any of these symptoms
Remember to promptly see your doctor when you experience any of these symptoms:
- New onset of abdominal pain
- Blood in or on the stool
- A change in stool caliber or shape
- A change in typical bowel habits, constipation, diarrhea.
Learn more from the American College of Gastroenterology
ACG Colorectal Cancer Patient Health Center
ACG Colorectal Cancer Screening Guidelines
Colorectal Cancer Screening: Recommendations for Physicians and Patients from the U.S. Multi-SocietyTask Force on Colorectal Cancer
ACG Colorectal Cancer Awareness Graphics (print, web, social media)