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Bowel cancer

Bowel cancer

What is bowel cancer?

The exact cause of bowel cancer isn’t yet fully understood but genetics can be a factor.

Some inherited diseases have been known to cause or lead to the development of bowel cancer and some genetic mutations can also play a role in its progression. With bowel cancer being the second most common cause of cancer deaths in the UK, being aware of and spotting the symptoms early ensures you have the best possible care and treatment before it spreads too far. The majority of bowel cancers occur in the large intestine, but they can also occur in the rectum. In some very rare cases, cancer can occur in the anus.

Bowel cancer is the third most common cancer in men and the second most common cancer in women. It can also be caused by increasing age or as a result of previous conditions such as Crohn’s disease or ulcerative colitis. If you have a history of bowel cancer in the family, then it may be advisable to have a genetic screening test to see if you are at risk from developing inherited bowel cancer. This is particularly important if you have a close relative diagnosed before the age of 45 or two other relatives with the condition.

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What are the early symptoms of bowel cancer?

The warning signs of bowel cancer are often quite vague. That said, it is easy to know when you need to consult a doctor. In many cases, these symptoms are actually the result of an easily-treatable condition such as an infection or piles.

However, the symptoms of potential bowel cancer shouldn’t be overlooked. If you begin to notice these signs, then it’s important to see a doctor:

  • Feeling the need to use the toilet more often than normal, or that your bowels haven’t been properly emptied
  • Bleeding after using the toilet, even a small amount
  • Passing mucus with your bowel motions
  • Looser stools or diarrhoea and constipation
  • Severe or unexplained tiredness
  • Losing weight unexpectedly
  • Lumps in the abdomen or general discomfort
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Can bowel cancer be hereditary?

Eight out of 10 cases of bowel cancer occur in individuals over the age of 50, though it can occur in practically any age bracket. Bowel Cancer UK states that bowel cancer is common and in most cases, is not passed down through the family. Although, around 5-10% of all bowel cancer cases are thought to be caused by a change in a known gene which can be passed down through a family. If you have the changed gene, you may have a higher chance of getting bowel cancer at some point in your life.

You are also more at risk if you’ve had abnormal growths of tissue called polyps develop in the colon or bowel. These often do not turn out to be cancerous, but if they are not treated or removed there is a chance that they could become cancerous.

A condition known as familial adenomatous polyposis (FAP), accounts for about one per cent of all cancers of the colon and rectum and can cause widespread development of these polyps during the teenage years. Many of these can soon become cancerous.

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What is bowel cancer screening?

Bowel cancer can be detected as a result of a screening process arranged by a GP, such as the National Bowel Cancer Screening Programme.

If bowel cancer is detected early by the National Bowel Cancer Screening, the chances of a cure increase by as much as 80%. It is diagnosed after a barium enema or colonoscopy, which is used to view the inside of the bowel and take a biopsy sample. This process examines things like the blood in the faeces and a number of other warning signs. Following one of these procedures, surgery is usually the next stage of treatment, but bowel cancer treatment can also be from chemotherapy and radiotherapy.

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How can I prevent the cancer from coming back?

Hopefully, your doctor will have removed and destroyed all cancer cells within you, leading you to be bowell cancer free. However, sometimes microscopic cancer cells may have spread to other parts of your body or have been missed at the original site. People who have survived bowel cancer are at a higher risk of it returning or developing a seperate new bowell cancer due to remaining risk factors they might have. Bowell Cancer UK says that unfortunately, there is no known way to definitively prevent bowel cancer from returning. There is some research that a healthy diet, regular exercise and a healthy weight can reduce your risk of cancer, but this has not been proven. You can keep on top of your health with regular follow-up appointments and check-ups, or your Helping Hands carer can arrange this for you.

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What is secondary bowel cancer?

Secondary bowel cancer can also be called advanced, metastatic or stage 4 bowel cancer.

This means that the cancer in your bowel has spread to other parts of your bosy, most commonly the liver, lungs, or peritoneum (a thin layer of tissue that covers your organs in your abdomen). In rare cases, the cancer can spread to the bones, ovaries and brain. Despite it spreading to other parts of the body, the cells are still bowel cancer cells.

While secondary bowel cancer sounds scary, Helping Hands offer specific cancer care that can be there to support you through your journey. We’ll get to know your cancer and how it affects you and do all we can to create an effective care plan that will help you as much as possible. We’ll be in regular contact with your healthcare professionals and family so we can make sure your treatment is as stress-free and unproblematic as possible. We care about you and your life at home, and we’re passionate about helping you to ease through your cancer journey. We also offer end-of-life care too, so you can be comfortable and at peace in your final days surrounded by the place and people you love.

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What to ask your doctor?

Here are some suggested questions to ask from Bowel Cancer UK:

  • Where is my bowel cancer?
  • What stage and grade is my bowel cancer? What does this mean?
  • What are my treatment choices?
  • Are there any clinical trials suitable for me?
  • Should I be referred for genetic testing?
  • Will I need extra help at home after treatment?
  • Will my treatment cause early menopause or affect my fertility?
  • Is there any emotional support available? Can I have counselling?
  • Where can I find support or information for my family or children?
  • Where can I get information and advice about work and money?
  • How often will I see my healthcare team?
  • Who can I contact if I have any questions?
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    Page reviewed by Kerry Feltwell, Regional Clinical Lead on November 15, 2021