By Dr. Sarah Barowka
While you might not immediately think of it, colorectal cancer is a significant health concern for women. It ranks as the third most common cancer diagnosed in the United States and the fourth leading cause of cancer death. This year alone, the American Cancer Society (ACS) estimates that nearly 53,000 women will be diagnosed with colon cancer, with an additional 19,000 facing a rectal cancer diagnosis. These numbers are almost on par with men’s statistics.
Although we’ve seen promising declines in colorectal cancer rates among older adults (thanks to increased screening and healthier lifestyles), this positive trend is alarmingly absent in younger generations. ACS data show a concerning 2.4% annual rise in diagnoses for people under age 50 between 2012 and 2021, highlighting a critical and growing need for awareness across all ages.
SCREENING IS ESSENTIAL
Early colorectal cancer often presents with no noticeable symptoms, making screening your most powerful tool for detection. This silent progression is particularly concerning because some cancers (especially those developing on the right side of the colon) can remain hidden even as they advance. That’s why screening is vital.
While colonoscopy is considered the gold standard and is recommended every 10 years for women at average risk for colorectal cancer starting at age 45, other screening options are available and have been effective in increasing screening rates. These options include stool-based tests every three years and fecal immunochemical tests (FIT) annually. For women with a family history of the disease, earlier or more frequent screening is often recommended, regardless of the modality chosen.
LISTEN TO YOUR BODY
Recognizing potential colorectal cancer symptoms can be particularly challenging for women because they often mimic other common, less serious ailments. For instance, cramping might be easily dismissed as menstrual-related discomfort. Rectal bleeding could be attributed to hemorrhoids, perhaps developed after childbirth. Even persistent gas or bloating is frequently chalked up to dietary issues.
The overlap means that vigilance is key. If you’re experiencing any of the following symptoms, it’s crucial to talk to your doctor about colorectal cancer screening.
- Change in bowel habits (constipation and/or diarrhea)
- Changes in stool color or shape, especially pencil-thin stools
- Rectal bleeding
- Sensation of not fully emptying your bowels
- Abdominal bloating, gas or pain
- Unexplained weight loss
- Fatigue
Prioritize your health from the inside out. Get regular screenings, and don’t second-guess persistent symptoms.
Dr. Sarah Barowka practices family medicine at Ochsner Health Center Shepherd Square. Reach her at (228) 220-5200.