March is Colorectal Cancer Awareness Month, an important time to highlight a cancer that is both common and, in many cases, preventable. Colorectal cancer remains the second leading cause of cancer-related death in the United States, yet early detection through appropriate screening dramatically reduces both incidence and mortality.
Colorectal cancer develops from the lining of the colon or rectum, often starting as small growths called polyps. These polyps may not cause symptoms for years, which is why screening is so critical. When identified early, colorectal cancer is highly treatable, with excellent long-term outcomes.
Who Should Be Screened
Current recommendations advise that average-risk adults begin colorectal cancer screening at age 45. Individuals with a family history of colorectal cancer, inflammatory bowel disease, or certain genetic conditions may need earlier or more frequent screening. Screening is not one-size-fits-all, and options include stool-based testing and colonoscopy, each with specific benefits.
Know the Warning Signs
While early disease is often silent, symptoms can include changes in bowel habits, blood in the stool, unexplained weight loss, persistent abdominal pain, or iron-deficiency anemia. These symptoms should never be ignored, regardless of age.
Why Screening Matters
Screening does more than detect cancer early—it can prevent cancer altogether. Colonoscopy allows for removal of precancerous polyps before they ever become dangerous. This preventive aspect makes colorectal cancer screening one of the most powerful tools we have in modern medicine.
Lowering Your Risk
Lifestyle plays a meaningful role in colorectal cancer risk. Maintaining a healthy weight, exercising regularly, limiting processed and red meats, avoiding tobacco, and moderating alcohol intake all contribute to risk reduction.
Colorectal cancer does not have to be a silent threat. March is a reminder to prioritize screening, know your personal risk, and take proactive steps toward long-term health. A conversation and a simple test can truly save a life.
Article by Vincent R. DeMarco, DO
Photography by National Cancer Institute
