Am I at High Risk for Colon Cancer? Family History and Symptoms

Q: Am I at High Risk for Colon Cancer? Family History and Symptoms

Hello, sir： It is indeed related to stress-induced abnormal colonic motility (not related to colorectal cancer). <br>You can learn relaxation techniques in your daily life, and if necessary (during critical moments), you may take medication for control. <br>Additionally, due to y

Am I in a high-risk group?

Dear Dr.
Chen,
My older brother was recently diagnosed with colon cancer (malignant tumor measuring three centimeters) at Linkou Chang Gung Memorial Hospital, but fortunately, it has not spread yet! My father also underwent surgery to remove colon polyps two years ago.
Am I considered a high-risk individual?
I have a busy job (receiving hundreds of emails daily) and experience a lot of stress.
For the past several years, I have had frequent bowel movements before work, possibly due to the anxiety of upcoming meetings and unresolved issues, which causes my intestines to move rapidly.
I often feel like I haven't fully emptied my bowels (I might go to the restroom three times within half an hour).
Interestingly, once I arrive at the office, my condition improves significantly, likely because I'm too busy to focus on my physiological needs.
On weekends, I don't have the same urgency because I'm not facing endless meetings and unsolvable problems.
Therefore, I haven't paid much attention to this issue, as going to the restroom provides me with relief, and it's not diarrhea, so I feel it's manageable.
However, due to my family history and genetic predisposition, I am becoming more concerned.

Doctor, what should I do now? Could you please provide me with clear advice? Thank you!
Sincerely,
Mr.
Chen, working at Hsinchu Science Park

Chen, 30~39 year old female. Ask Date: 2009/05/03

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir: It is indeed related to stress-induced abnormal colonic motility (not related to colorectal cancer).
You can learn relaxation techniques in your daily life, and if necessary (during critical moments), you may take medication for control.
Additionally, due to your family history, it is still recommended to undergo a screening (non-invasive) colonoscopy just to be safe.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2009/05/03

More Info

Based on the information you've provided, it appears that you may indeed be at a higher risk for colon cancer due to your family history and personal symptoms. Family history plays a significant role in assessing an individual's risk for developing various types of cancer, including colorectal cancer. When immediate family members, such as siblings or parents, have been diagnosed with colon cancer or related conditions, it can increase your risk. In your case, having a brother diagnosed with colon cancer and a father who had polyps removed suggests a concerning family history.

The general recommendation is that individuals with a family history of colorectal cancer should begin screening earlier than the standard age of 45. The American Cancer Society suggests that those with a first-degree relative (parent, sibling, or child) diagnosed with colorectal cancer should start screening at age 40 or 10 years before the age at which the relative was diagnosed, whichever comes first. Given your brother's recent diagnosis, it would be prudent to discuss with your healthcare provider the possibility of undergoing a colonoscopy sooner rather than later.

Your symptoms of frequent bowel movements, particularly under stress, may not directly indicate colon cancer, but they are worth discussing with your doctor. Stress can indeed affect bowel habits, leading to increased urgency or frequency, but it is essential to rule out any underlying conditions, especially given your family history. The discomfort you feel and the changes in your bowel habits should not be dismissed, and it would be wise to have a thorough evaluation.

In addition to screening, maintaining a healthy lifestyle can help mitigate some risk factors associated with colon cancer. This includes:
1. Diet: A diet rich in fruits, vegetables, whole grains, and lean proteins can help reduce your risk. Limiting red and processed meats is also advisable.

2. Physical Activity: Regular exercise can help maintain a healthy weight and reduce the risk of colon cancer.

3. Weight Management: Since you mentioned being overweight, focusing on weight loss through diet and exercise can be beneficial.

4. Avoiding Tobacco and Limiting Alcohol: Smoking and excessive alcohol consumption are both linked to an increased risk of various cancers, including colorectal cancer.

5. Stress Management: Since you noted that stress affects your bowel habits, incorporating stress-reduction techniques such as mindfulness, yoga, or regular physical activity may help improve your overall well-being.

In conclusion, given your family history and current symptoms, it is advisable to consult with your healthcare provider about scheduling a colonoscopy and discussing your symptoms in detail. They may also recommend additional tests or screenings based on your specific situation. Early detection is key in managing and treating colorectal cancer effectively, so taking proactive steps is crucial.

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