Welcome to our comprehensive guide on bowel cancer. In this article, we will explore the risks and symptoms associated with this condition. Bowel cancer, also known as colorectal cancer, is a serious health concern that affects a significant number of individuals each year. By understanding the risks and recognizing the symptoms, you can take proactive steps in protecting your health and well-being.

Bowel cancer develops from the inner lining of the bowel and is typically preceded by the growth of polyps. In 2023 alone, more than 15,300 individuals were diagnosed with bowel cancer. The symptoms associated with this condition include changes in bowel habits, presence of blood in the stools, abdominal pain, weight loss, and fatigue.

Various factors can increase the risk of developing bowel cancer. These include having a diet low in fiber, consuming high amounts of red meat, being obese, smoking, and having a family history of bowel cancer. It is crucial to be aware of these risk factors and make informed choices to reduce your chances of developing this condition.

If you experience any of the symptoms mentioned or fall into any of the high-risk categories, it is important to seek medical attention promptly. Remember that early detection plays a significant role in successful treatment outcomes. By understanding the risks and symptoms associated with bowel cancer, you can take important steps towards safeguarding your health.

What is Bowel Cancer?

Bowel cancer, also known as colorectal cancer, develops from the inner lining of the bowel and is usually preceded by growths called polyps. Depending on where the cancer begins, it may be called colon or rectal cancer. About 90% of bowel cancers are adenocarcinomas, which start in the glandular tissues lining the bowel. Other less common types of cancer can also affect the bowel. People aged 50-74 are sent a bowel screening test every two years as part of the National Bowel Cancer screen program.

Type of CancerDefinition
AdenocarcinomaThe most common type of bowel cancer that starts in the glandular tissues lining the bowel.
Squamous Cell CarcinomaA type of cancer that develops in the cells lining the anal canal or rectum.
Neuroendocrine TumoursA less common type of bowel cancer that starts in the hormone-producing cells of the bowel.
SarcomasA rare type of bowel cancer that develops in the connective tissues of the bowel.

The National Bowel Cancer Screening Program aims to detect bowel cancer at an early stage when treatment is more effective. By identifying and removing polyps during screening, the risk of developing bowel cancer can be significantly reduced.

Symptoms of Bowel Cancer

Symptoms of bowel cancer can vary from person to person, but it’s important to be aware of the common signs. If you experience any of the following symptoms, it’s crucial to take them seriously and seek prompt medical attention:

  • A change in bowel habit
  • Blood in the stools
  • Abdominal pain
  • Bloating
  • Anal or rectal pain
  • Unexplained weight loss
  • Fatigue
  • Changes in urine or passing urine frequently

 

If you notice any of these symptoms, it’s crucial to consult with a healthcare professional. Early detection and intervention can significantly improve the chances of successful treatment and recovery for bowel cancer.

Causes and Risk Factors of Bowel Cancer

Bowel cancer, also known as colorectal cancer, can be influenced by various factors. Understanding these causes and risk factors can help you make informed choices about your lifestyle and take necessary precautions to reduce the likelihood of developing this condition.

A combination of genetic, environmental, and lifestyle factors contribute to the development of bowel cancer. Some of the common causes and risk factors include:

  • Diet low in fiber: Consuming a diet that lacks fiber increases the risk of bowel cancer. Fibrous foods help maintain a healthy digestive system.
  • High red meat consumption: Consuming excessive amounts of red meat, especially processed meats, can increase the risk of bowel cancer.
  • Obesity: Being overweight or obese puts additional strain on your body, including the digestive system, which can increase the risk of developing bowel cancer.
  • Alcohol consumption: Regular and excessive alcohol consumption increases the risk of bowel cancer. It is advisable to consume alcohol in moderation.
  • Smoking: Smoking is a significant risk factor not only for lung cancer but also for bowel cancer. Quitting smoking can significantly reduce the risk.
  • Inherited genetic risk and family history: A family history of bowel cancer or certain genetic conditions, such as Lynch syndrome or familial adenomatous polyposis (FAP), can increase your susceptibility to developing bowel cancer.
  • Inflammatory bowel diseases (IBD): Chronic inflammation of the bowel, such as Crohn’s disease or ulcerative colitis, can increase the risk of bowel cancer.
  • Presence of polyps: Having polyps in the colon or rectum, especially adenomatous polyps, increases the risk of bowel cancer.
  • Previous diagnosis of bowel cancer: If you have previously been diagnosed with and treated for bowel cancer, there is a higher risk of developing it again.

Take note of these factors and consider making necessary lifestyle changes to reduce your risk of developing bowel cancer. Maintaining a healthy diet, exercising regularly, quitting smoking, limiting alcohol consumption, and undergoing regular screenings can significantly lower the chances of developing this condition.

Causes and Risk Factors of Bowel Cancer

Risk FactorDescription
Diet low in fiberConsuming a diet that lacks fiber increases the risk of developing bowel cancer.
High red meat consumptionExcessive consumption of red meat, especially processed meats, has been linked to a higher risk of bowel cancer.
ObesityBeing overweight or obese increases the likelihood of developing bowel cancer.
Alcohol consumptionRegular and excessive alcohol consumption can increase the risk of bowel cancer.
SmokingSmoking is a significant risk factor for bowel cancer, along with other health complications.
Inherited genetic risk and family historyA family history of bowel cancer or certain genetic conditions can elevate the risk of developing the disease.
Inflammatory bowel diseases (IBD)Chronic inflammation of the bowel, such as Crohn’s disease or ulcerative colitis, increases the risk of bowel cancer.
Presence of polypsThe presence of polyps, especially adenomatous polyps, can increase the risk of developing bowel cancer.
Previous diagnosis of bowel cancerIf you have previously been diagnosed with and treated for bowel cancer, there is a higher risk of developing it again.

Diagnosis of Bowel Cancer

Diagnosing bowel cancer involves several tests that help detect the presence of cancer and determine its extent. These tests are performed by healthcare professionals who specialize in diagnosing and treating gastrointestinal conditions. The following are some common diagnostic tests for bowel cancer:

Physical Examination

A physical examination may be performed to evaluate your overall health and look for any signs of bowel cancer. The doctor may feel your abdomen for any abnormalities, such as lumps or masses, and check for other potential symptoms.

Blood Tests

Blood tests can provide valuable information about your health, including the presence of certain markers that may indicate bowel cancer. These markers, such as carcinoembryonic antigen (CEA), are substances that are often elevated in individuals with bowel cancer.

Immunochemical Faecal Occult Blood Test (iFOBT)

The immunochemical faecal occult blood test (iFOBT) is a simple and non-invasive test that detects tiny traces of blood in the stool. The presence of blood in the stool may indicate the presence of bowel cancer or other gastrointestinal conditions.

Colonoscopy

A colonoscopy is a procedure that allows a doctor to examine the inside of the colon and rectum using a long, flexible tube with a camera on the end. This test can help identify any abnormalities, such as polyps or tumors, and also allows for the collection of tissue samples (biopsies) for further analysis.

Flexible Sigmoidoscopy

Similar to a colonoscopy, a flexible sigmoidoscopy is a procedure that examines the lower part of the colon and rectum using a flexible tube with a camera. However, this test examines a smaller portion of the colon compared to a colonoscopy.

MRI Scan

An MRI (magnetic resonance imaging) scan uses powerful magnets and radio waves to create detailed images of the inside of the body. This imaging test can help identify the extent of the cancer and determine if it has spread to other areas.

CT Scan

A CT (computed tomography) scan uses X-rays and a computer to produce cross-sectional images of the body. This test can help evaluate the size and location of the tumor, as well as check for the presence of cancer in the lymph nodes or other organs.

PET Scan

A PET (positron emission tomography) scan involves injecting a small amount of radioactive material into the body and then taking images using a specialized camera. It can help determine if the cancer has spread to other parts of the body, such as the liver or lungs.

These diagnostic tests play a crucial role in accurately diagnosing bowel cancer and determining the most appropriate treatment plan. It is important to discuss any concerns or questions you may have about these tests with your healthcare provider.

diagnosis of bowel cancer

Treatment for Bowel Cancer

When it comes to treating bowel cancer, there are various options available depending on the stage of the cancer and the individual’s overall health. The main treatment for early bowel cancer is surgery, which involves removing the cancerous tissue from the bowel.

For advanced bowel cancer, systemic treatment may be used. This includes radiation therapy, chemotherapy, targeted therapy, and immunotherapy. Radiation therapy uses high-energy beams to destroy cancer cells, while chemotherapy involves the use of drugs to kill or slow down the growth of cancer cells. Targeted therapy focuses on specific molecules in cancer cells, while immunotherapy boosts the body’s immune system to fight against cancer.

In some cases, palliative care may be recommended for individuals with advanced bowel cancer. Palliative care aims to improve the quality of life by managing symptoms and providing emotional support.

It is important to consult with your healthcare team to determine the most appropriate treatment plan for you. They will consider factors such as the stage of the cancer, your overall health, and your personal preferences to develop a tailored treatment approach.

bowel cancer treatment

Comparison of Treatment Options for Bowel Cancer

Treatment OptionDescription
SurgeryMain treatment for early bowel cancer, involves removal of cancerous tissue from the bowel.
Radiation TherapyUses high-energy beams to destroy cancer cells.
ChemotherapyUses drugs to kill or slow down the growth of cancer cells.
Targeted TherapyFocuses on specific molecules in cancer cells.
ImmunotherapyBoosts the body’s immune system to fight against cancer.
Palliative CareFocuses on improving the quality of life for individuals with advanced bowel cancer.

Screening and Prevention of Bowel Cancer

Regular screening plays a crucial role in the early detection of bowel cancer. By undergoing timely screenings, you increase the chances of identifying the disease at an early stage when treatment is often more effective. There are two main screening tests used for detecting bowel cancer: the faecal occult blood test (FOBT) and colonoscopy.

The faecal occult blood test (FOBT) involves analyzing small samples of your stool to check for hidden blood. This test is non-invasive, convenient, and can be done at home. It is recommended that individuals with an average risk of bowel cancer, starting around the age of 45, consider undertaking the FOBT as part of their regular healthcare routine.

Colonoscopy is a more thorough screening procedure that involves examining the inside of your colon and rectum using a flexible tube with a camera. This test allows for the detection of any abnormalities, such as polyps or tumors, which can then be further investigated or removed. Colonoscopy is typically recommended for individuals with an increased risk of bowel cancer or those who have received abnormal results from the FOBT.

In addition to screening, taking preventive measures can significantly reduce the risk of developing bowel cancer. Making lifestyle modifications that promote overall health and well-being is paramount. Here are some key preventive measures:

  • Maintain a healthy weight: Obesity has been linked to an increased risk of bowel cancer. Regular exercise and a balanced diet can help you achieve and maintain a healthy weight.
  • Stay physically active: Engaging in regular physical activity, such as brisk walking, cycling, or swimming, can lower the risk of bowel cancer.
  • Eat a healthy diet: Include plenty of fruits, vegetables, whole grains, and fiber in your diet. Limit the consumption of processed foods, red meat, and foods high in saturated fats.
Preventive MeasuresEffectiveness in Bowel Cancer Prevention
Maintaining a healthy weightReduces the risk of developing bowel cancer
Regular exerciseReduces the risk of developing bowel cancer
Consuming a balanced dietReduces the risk of developing bowel cancer

Conclusion

Bowel cancer is a serious health condition that requires prompt attention and action. Understanding the risks and symptoms associated with bowel cancer is crucial in protecting your health and well-being. By being aware of the potential signs, such as changes in bowel habits, blood in the stools, and abdominal pain, you can take proactive measures.

Regular screenings, such as the faecal occult blood test (FOBT) and colonoscopy, play a vital role in detecting bowel cancer early. By participating in these screenings and following medical recommendations, you can significantly increase your chances of successful treatment if diagnosed. Remember, early detection can save lives.

Alongside screenings, making positive lifestyle changes can also help reduce the risk of developing bowel cancer. Adopting a healthy diet rich in fiber, maintaining a healthy weight, engaging in regular physical activity, and avoiding tobacco and excessive alcohol consumption can all contribute to lowering your risk.

Consulting with healthcare professionals is essential for personalized advice and guidance. They can provide you with the necessary information to make informed decisions about your health and guide you through the screening and prevention strategies available. By staying proactive and taking care of your well-being, you can safeguard yourself against bowel cancer and ensure a healthier future.

FAQ

What is bowel cancer?

Bowel cancer, also known as colorectal cancer, develops from the inner lining of the bowel. It is usually preceded by growths called polyps.

What are the symptoms of bowel cancer?

Symptoms of bowel cancer include changes in bowel habits, blood in the stools, abdominal pain, weight loss, and fatigue. Other symptoms may include bloating, anal or rectal pain, and changes in urine or passing urine frequently.

What are the causes and risk factors of bowel cancer?

Some factors that increase the risk of bowel cancer include a diet low in fiber, high red meat consumption (especially processed meats), obesity, alcohol consumption, smoking, inherited genetic risk and family history, inflammatory bowel diseases such as Crohn’s disease, polyps, and having a previous diagnosis of bowel cancer.

How is bowel cancer diagnosed?

Several tests can be used to diagnose bowel cancer, including physical examination, blood tests, immunochemical faecal occult blood test (iFOBT), colonoscopy, flexible sigmoidoscopy, MRI scan, CT scan, and PET scan. These tests help detect the presence of cancer and determine its extent.

What are the treatment options for bowel cancer?

Treatment options for bowel cancer include surgery, radiation therapy, chemotherapy, targeted therapy, and immunotherapy. The choice of treatment depends on the stage of the cancer and the individual’s overall health.

How can I screen for bowel cancer and prevent it?

Regular screening is important for detecting bowel cancer early. Screening tests include the faecal occult blood test (FOBT) and colonoscopy. Lifestyle changes, such as maintaining a healthy weight, being physically active, and eating a healthy diet, can also help reduce the risk of developing bowel cancer.