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Early Detection Recommendations

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CANCER FACTS - Colorectal

Signs and Symptoms Rectal bleeding, blood in the stool, a change in bowel habits.
Risk Factors A personal or family history of colorectal cancer or polyps, and inflammatory bowel disease have been associated with increased colorectal cancer risk. Other possible risk factors include physical inactivity, high-fat and/or low-fiber diet, as well as inadequate intake of fruits and vegetables. Recent studies have suggested that estrogen replacement therapy and nonsteroidal antiinflammatory drugs such as aspirin may reduce colorectal cancer risk.
Early Detection Beginning at age 50, men and women should have one of the following: a fecal occult blood test (FOBT) and flexible sigmoidoscopy (if normal, repeat FOBT annually, and flexible sigmoidoscopy every 5 years), or colonoscopy (if normal, repeat every 10 years), or double-contrast barium enema (if normal, repeat every 5 to 10 years).

A digital rectal examination should be done at the same time as sigmoidoscopy, colonoscopy, or double-contrast barium enema. These tests offer the best opportunity to detect colorectal cancer at an early stage when successful treatment is likely, and to prevent some cancers by detection and removal of polyps.

People should begin colorectal cancer screening earlier and/or undergo screening more often if they have a personal history of colorectal cancer or adenomatous polyps, a strong family history of colorectal cancer or polyps, a personal history of chronic inflammatory bowel disease, or if they are a member of a family with hereditary colorectal cancer syndromes.

Source: Cancer Facts & Figures 1998 - American Cancer Society

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