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Living > Public Health, Safety

Colorectal Cancer and Screening

Image of colon, as part of your lower digestive systemColorectal cancer (colon cancer) develops in the large intestine. It develops from tiny growths inside the colon or rectum called polyps. There are no early warning symptoms.

Colorectal cancer is a slow growing cancer and can take up to 10 years or more to develop to an advanced stage. That's why it's key to make regular screening for colorectal cancer a part of your routine health checks.

Individuals over 50 years old are encouraged to begin screening for colorectal cancer every two years.
- Ontario Ministry of Health and Long-Term Care

Symptoms of Colorectal Cancer

During the early stages of the disease there are no symptoms.

As colorectal cancer progresses the following symptoms may occur:

  • A change in your bowel movements
  • Blood (either bright red or very dark) in your stool (feces)
  • Diarrhea, constipation or feeling that your bowel does not empty completely
  • Stools that are narrower than usual
  • Stomach discomfort
  • Unexplained weight loss
  • Fatigue
  • Vomiting

If you have any of these symptoms talk to your health care provider during your next visit.

People Affected by Colorectal Cancer

  • Second leading cause of cancer deaths in Ontario
  • 7,800 Ontarians will be diagnosed with colorectal cancer this year
  • 3,250 people will die from it

Statistics from Cancer Care Ontario and Canadian Cancer Society-2007

Lowering Your Risk of Colorectal Cancer

While there are no guarantees that you will not get colorectal cancer, you can lower your risk of getting the disease by:

  • Eating a healthy diet
  • Not smoking
  • Exercising regularly
  • Limiting your consumption of alcohol
  • Visiting your health care provider regularly
  • Screening for colorectal cancer (Fecal Occult Blood Test or Colonoscopy)

Colorectal Cancer Screening

There are various methods of screening for colorectal cancer. If you are over age 50 or have a close relative with colorectal cancer, talk to your doctor about screening. It could save your life.

The most common screening methods that are:

Fecal Occult Blood Test (FOBT)

This test can detect the blood in your stool that may not be visible to the naked eye. A positive test requires a follow up to find out if you have colorectal cancer. It is recommended that everyone 50 years and older have this test every two years.

This test is a simple, self-administered test that can be done in the privacy of your own home. It involves you collecting a small sample of your stool on three different days. The kit includes a detailed instruction sheet to help you through it.

Colonoscopy

This test is an examination of the lining of your rectum and colon using a long flexible tube with a camera on the end. This test is recommended for individuals at increased risk, such as having one or more close relatives (parent, sibling or child) who have the disease. You may be asked to have this test if you've had a positive Fecal Occult Blood Test.

Get Screened Every Two Years

Men and women 50 years of age or older, who do not have a family history of colorectal cancer, should be screened every two years using a Fecal Occult Blood Test.

Individuals at higher risk may need to have a colonoscopy before age 50.

Talk to your health care provider about your family history and the screening method that is best for you.

Further Colon Cancer Information


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