Colon Cancer in Younger People The Silent Rise and How to Protect YourselfColon cancer, or colorectal cancer, is the third most commonly diagnosed cancer in the United States and a leading cause of cancer-related deaths. Traditionally considered a disease of older adults, it has become increasingly common among younger populations—particularly those under 50. The American Cancer Society reports that cases in younger people have been rising by approximately 1-2% per year since the mid-1990s, and alarmingly, patients in their 20s and 30s are being diagnosed with advanced stages of the disease.

Why Are Younger People Getting Colon Cancer?

Researchers are still working to determine the exact cause, but several contributing factors have been identified:
  1. Dietary Habits Have Changed Dramatically

    The Western diet—high in processed meats, refined sugars, and low in fiber—creates an environment conducive to cancer growth. A lack of fiber slows digestion, allowing carcinogens more time to interact with the intestinal lining.

  2. Obesity and Sedentary Lifestyles

    Obesity rates among young adults have soared over the past two decades, and obesity is a known risk factor for colorectal cancer. Coupled with prolonged sitting and reduced physical activity, the risk increases further.

  3. Gut Microbiome Alterations

    Emerging research suggests that changes in gut bacteria, often caused by poor diet and antibiotic overuse, may play a role in the development of colon cancer.

  4. Family History and Genetic Factors

    Inherited conditions like Lynch syndrome and familial adenomatous polyposis (FAP) significantly increase colon cancer risk, often leading to earlier onset.

Symptoms to Watch Out For

Unfortunately, colon cancer in younger people often goes undiagnosed because symptoms mimic less serious conditions like hemorrhoids or IBS. Also most insurance do not cover screenings under age 45. Common warning signs include:
  • Rectal bleeding or blood in the stool

  • Unexplained weight loss

  • Persistent changes in bowel habits (constipation or diarrhea lasting more than a few days)

  • Cramping or abdominal pain that doesn’t resolve

Why Screening Matters

Early detection is the key to survival. When caught early, colon cancer has a 90% five-year survival rate. That’s why the American Cancer Society lowered the recommended age for routine colonoscopies from 50 to 45 years old. Those with a strong family history or genetic risk factors should start screening even earlier.

We also offer genetic testing with Myriad Labs for Lynch Syndrome, which is a risk factor for early colon cancer. Ask us about this at your next physical exam appointment.

Prevention Strategies That Work

  • Eat for Your Gut: Increase intake of fiber-rich foods like fruits, vegetables, and whole grains.

  • Limit Processed and Red Meat: These have been linked to a higher risk of colorectal cancer.

  • Stay Active: Aim for 150 minutes of moderate exercise each week.

  • Limit Alcohol and Quit Smoking: Both significantly increase colon cancer risk.

At Qvita Health and Wellness, we believe that colon cancer is preventable in many cases. Know the symptoms, understand your risk, and make screening a priority. Ask us about ways to lower your risk.

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