As much as we may hate to admit it, we’re all getting older, and with age can come changes in our body that demand our attention. Some of those changes could be happening in a place you don’t often think about—your colon.
Health Services of North Texas (HSNT) is partnering with CONNECT: Coordinating Center for Colorectal Cancer Screening Across Texas to launch a special colorectal cancer (CRC) education campaign in our community and increase the rates of colorectal cancer screening among our patients.
According to CONNECT, CRC is the second most diagnosed cancer and the second leading cause of cancer-related deaths in the United States. In Texas, only about 61% of adults aged 45–75 are up to date with their CRC screening. For adults who are uninsured or living with financial challenges, it can be even more difficult to access this life-saving care. HSNT is one of many Federally Qualified Health Centers (FQHCs) around the country working to change that.
What Is Colorectal Cancer (CRC)?
Your digestive system is made of many parts. The colon and rectum make up the large intestine, where water and salt are absorbed from food matter after it goes through the small intestine. What remains after going through the colon goes into the rectum, the final 6 inches (15 cm) of the digestive system. It’s stored there until it exits your body as a bowel movement (poop).
Colorectal cancers often start as growths called polyps on the inner lining of the colon or rectum. Some types of polyps stay harmless, but some can turn into cancer over time.
Image source: American Cancer Society
When Should You Be Screened for CRC?
Unfortunately, CRC cases are rising among younger adults. It is now widely recommended that adults begin being screened for CRC on a regular basis starting at age 45. If you have a history of CRC in your family, your doctor may recommend you start screening even earlier.
The good news is that when CRC is caught quickly, it is highly treatable, with survival rates at or above 90% in the early stages.
When many people think of CRC screening, they immediately picture a colonoscopy. Though this is often part of the screening process at some points in life, there are many other options as well, including:
- Fecal Immunochemical Test (FIT): This screening checks for hidden blood in the stool, which can be a possible sign of cancer.
- Stool DNA Test (e.g., Cologuard): This screening detects specific DNA markers linked to colorectal cancer as well as hidden blood in your stool.
- Flexible Sigmoidoscopy: A thin, flexible tube with a tiny camera and light is inserted through the anus to view the rectum and parts of the colon. The procedure is short, and most people will not need to be sedated.
- Colonoscopy: While you are sedated, a thin, flexible tube with a tiny camera and light is inserted through the anus and extended further into the digestive system. Depending on your medical history, you may only need this test once every 10 years.
Your doctor can help you determine what type of screening is best for you and how often it needs to be done. At HSNT, our primary care clinicians are ready to talk with you about your screening options. HSNT’s Eligibility and Quality Navigators (EQNs) are also available to connect you with screening opportunities that best fit your insurance status, schedule, and wallet.
Signs You Should Get Tested (At Any Age)
Medical professionals recommend that everyone start regular screenings for CRC at age 45. However, if you have certain symptoms at any age, it may be a sign that you should get tested as soon as possible. Our friends at Cheeky Charity list the following warning signs to look out for:
- Rectal Bleeding: Blood in the stool always deserves attention. While bleeding might be due to something more harmless, if it is persistent, it is best to check in with your doctor.
- Changes in Bowel Habits: If you have long-lasting diarrhea, constipation, or other symptoms, it could be your body’s way of letting you know about a more serious problem in your digestive system.
- Abdominal Pain or Cramping: Ongoing pain, cramping, bloating, or gas in the lower abdomen could be signs of a deeper issue.
- Unexplained Weight Loss: Unexplained weight loss can be a sign of several conditions, including CRC.
- Weakness or Fatigue: Blood loss or metabolic changes from CRC can cause fatigue.
- Narrow Stools: If you’re constantly having thin or “ribbon-like” stools, it may be due to a blockage in the colon.
Prevent CRC, Protect Your Health
Colon and rectal health can be an awkward topic, but the more we talk about it, the more the worst-case scenario of late-stage cancer can be prevented.
And when it comes to spreading the word among your family and friends—get cheeky with it! CRC screening is something we will all have to participate in at some point, and it doesn’t have to be a serious topic. In the coming months of our partnership with CONNECT, HSNT will be releasing a series of fun social media posts as a light-hearted way to get people talking about colon health.
In conclusion, HSNT has a simple message for you:
Don’t Be a Fool, Test Your Stool!
Prevention is Powerful. Early Detection Saves Lives. Call our main number (940-381-1501) and dial extension 129 to reach someone on our Eligibility & Quality Navigator Team. Let us help you stay on track with the screenings and preventive care you need for a healthier future.
This message is funded by CPRIT grant #PP230060 (CONNECT).