colon cancer colorectal cancer? - iossg.org.uk · 3duce your risks ere is a lot you can do to...
TRANSCRIPT
Ion'
tblu
sh.
ccc
CO
LON
CA
NC
ER
CO
NC
ER
N
you
have
any
que
stio
ns a
fter
read
ing
this
boo
klet
or
requ
irert
her
info
rmat
ion
abou
t col
orec
tal c
ance
r th
en p
leas
e do
not
sita
te to
con
tact
us.
a In
folin
e nu
mbe
r is
: 087
08 5
0 60
50
e-m
ail:
info
@co
lonc
ance
r.or
g.uk
ccc
CO
LON
CA
NC
ER
CO
NC
ER
N
Sup
port
ed b
y
The
Cc5
)PE
RA
TIV
E B
AN
K
..1lo
okC
once
rned
abo
ut11
.be
fore
you
flush
!C
olor
ecta
l Can
cer?
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Ion'
t blu
sh...
...Io
okbe
fore
you
flus
h!
onte
nts
once
rñed
abO
ut C
olor
ecta
l Can
cer?
hat i
s C
olor
ecta
l Can
cer?
1
hat c
ause
s C
olor
ecta
l Can
cer?
2
ympt
oms
of C
olor
ecta
l Can
cer
4
hatto
do
next
5
uest
ions
to a
sk y
our
GP
6
educ
e yo
ur r
isks
8
cree
ning
CC
lnfo
line
10
olon
Can
cer
Con
cern
12
Con
cern
ed a
bout
Col
orec
tal C
ance
r?
The
re is
a g
reat
dea
l of c
onfu
sion
abo
utth
e na
me
of th
is c
ance
r. It
can
be
refe
rred
to a
s bo
wel
or la
rge
bow
elca
ncer
, col
orec
tal
canc
er o
r ca
ncer
of
the
larg
e in
test
ine.
The
dia
gram
illus
trat
esth
e di
ffere
ntar
eas
conc
erne
d.
Wha
t is
Col
orec
tal C
ance
r?
Col
orec
tal c
ance
r ca
n de
velo
p w
ithin
any
par
t of t
he c
olon
or r
ectu
m a
nd c
an b
e ei
ther
ben
ign
(non
-can
cero
us)
or
mal
igna
nt (
canc
erou
s). M
ost c
olor
ecta
l can
cers
aris
e fr
om
the
grow
ths
know
n as
ade
nom
as. I
n th
e ea
rly s
tage
s th
ese
rese
mbl
e a
poly
p, a
term
for
an o
verg
row
th o
f cel
ls. I
n
som
e ca
ses,
ade
nom
as in
crea
se in
siz
e an
d un
derg
o
chan
ges,
bec
omin
g ab
norm
al in
func
tion,
str
uctu
re a
nd
shap
e. T
his
is c
omm
only
cal
led
a ca
ncer
or
mal
igna
ncy.
Gui
le
Sto
mac
h
Sm
all I
ntes
tine
(sm
all b
owel
)
Rec
tum
An
us
Col
onLa
rge
Inte
stin
e
(larg
e bo
wel
)
PDF compression, OCR, web optimization using a watermarked evaluation copy of CVISION PDFCompressor
Vha
tca
uses
Col
orec
tal C
ance
r?
The
exa
ctca
use
of c
olor
ecta
l can
cer
rem
ains
unk
now
n,H
owev
er, t
here
are
fact
ors
that
mak
e pe
ople
mor
e at
ris
k,
Age co
lore
ctal
can
cer
can
deve
lop
in m
en a
nd w
omen
of
any
age,
but
itte
nds
to b
e a
dise
ase
of la
tem
iddl
e an
d ol
d ag
e. In
the
UK
, aro
und
75%
of c
ases
occ
ur in
peo
ple
over
the
age
of 5
5 w
ho h
ave
nopa
rtic
ular
fam
ily h
isto
ryth
at w
ould
influ
ence
thei
rris
k of
deve
lopi
ng c
olor
ecta
lca
ncer
.
Fam
ily H
isto
ry
In th
e U
K, l
ess
than
5%
of a
llpe
ople
dia
gnos
edw
ith c
olor
ecta
l can
cer
have
a fa
mily
his
tory
of t
hedi
seas
e. T
here
may
be
gene
ticco
nditi
ons
that
grea
tly in
fluen
ce th
e ris
k of
deve
lopi
ng th
edi
seas
e. O
ften,
if th
ere
isa
hist
ory
of c
olor
ecta
lca
ncer
with
in a
fam
ily, t
he d
isea
seap
pear
s at
an
earli
er a
ge (
unde
r 45
yea
rs) a
nd a
ffect
s tw
o or
mor
e cl
ose
rela
tives
(pa
rent
, bro
ther
sist
er).
Infla
mm
ator
y bo
wel
dis
ease
Peo
ple
who
hav
e an
infla
mm
ator
ybo
wel
dis
ease
or th
ose
who
hav
e a
tend
ency
to d
evel
op p
olyp
sm
ay h
ave
anin
crea
sed
susc
eptib
ility
tode
velo
ping
col
orec
tal c
ance
r.
)iet/L
ifest
yie
Die
ts h
igh
ri fa
t and
low
in v
eget
able
s, c
ombi
ned
with
a se
dent
ary
lifes
tyle
, can
incr
ease
the
risk
of d
evel
opin
g th
edi
seas
e.
Eve
ry 1
5 m
inut
esso
meo
ne in
the
UK
is to
ld th
ay h
ave
colo
rect
alca
ncer
Bow
el C
ance
r F
orum
, 200
1
PDF compression, OCR, web optimization using a watermarked evaluation copy of CVISION PDFCompressor
ympt
oms
of C
olor
ecta
l Can
cer
The
sym
ptom
s of
col
orec
tal c
ance
r de
pend
upon
the
stag
e of
the
dise
ase
and
the
part
of
the
colo
n af
fect
ed a
nd m
ay in
clud
e an
y of
the
follo
win
g:
Ble
edin
g fr
om th
e bo
ttom
(re
ctal
ble
edin
g) w
ithou
t any
stra
inin
g, p
ain,
sor
enes
s, lu
mpi
ness
, sw
ellin
g or
itch
ing
A r
ecen
t or
pers
iste
nt c
hang
e of
bow
el h
abit,
suc
h as
goin
g to
the
toile
t mor
e fr
eque
ntly
, or
havi
ng lo
oser
stoo
ls, e
spec
ially
with
rec
tal b
leed
ing
Rec
tal b
leed
ing
if yo
u ar
e ov
er 5
5 -
pile
s m
ay b
e m
aski
ngm
ore
serio
us s
ympt
oms
Une
xpla
ined
ana
emia
,( w
hich
som
etim
es ta
kes
the
form
of e
xtre
me
tired
ness
or
fatig
ue)
and/
or s
ever
e gu
t pai
n
Alth
ough
all
of th
ese
sym
ptom
s ca
n be
cau
sed
by o
ther
con
ditio
nsit
is im
port
ant t
hat y
ou h
ave
them
che
cked
by
your
doc
tor.
Kee
p a
sym
ptom
dia
ry
Kee
p a
sym
ptom
dia
ry a
bout
you
r bo
wel
mov
emen
ts (
a co
py o
f our
Sym
ptom
Rec
ord
She
et c
an b
e ob
tain
ed fr
om C
CC
'S In
folin
e). T
his
shou
ld in
clud
e th
e da
te y
ou s
tart
ed th
e di
ary;
wha
t you
r m
otio
ns lo
ok li
ke, t
heir
colo
ur a
nd
cons
iste
ncy;
how
ofte
n yo
u ar
e ha
ving
you
r
bow
els
open
ed a
nd w
heth
er a
ny b
lood
and/
or m
ucus
(cl
ear
jelly
like
sub
stan
ce)
is
pass
ed. P
rovi
ding
mor
e ac
cura
te d
etai
ls o
f
your
sym
ptom
s w
ill h
elp
your
GP
dec
ide
on th
e ne
xt s
teps
to ta
ke.
Wha
ttodo
nex
t
Don
't be
em
barr
asse
d
Bow
els
are
the
bodi
es n
atur
al w
aste
sys
tem
- n
ot d
issi
mila
r to
our
was
te
bins
at h
ome!
We
all h
ave
bow
els,
but
they
are
a s
ubje
ct m
any
peop
le
find
diffi
cult
to ta
lk a
bout
.
See
k ad
vice
If yo
u no
tice
chan
ges
in y
our
bow
el h
abit,
then
don
t del
ay in
see
king
advi
ce. D
octo
rs a
nd n
urse
s ar
e ve
ry u
sed
to ta
lkin
g ab
out t
hese
par
ts
of o
ur b
ody
with
out m
akin
g it
emba
rras
sing
or
diffi
cult.
Rem
embe
r,
for
mos
t dis
ease
s an
d ill
ness
es, b
ut in
par
ticul
ar c
olor
ecta
l can
cer
-
early
det
ectio
n in
crea
ses
the
succ
ess
of tr
eatm
ent.
It is
alw
ays
impo
rtan
t
to r
emem
ber
that
mos
t sym
ptom
s do
not
turn
out
to b
e ca
ncer
.
PDF compression, OCR, web optimization using a watermarked evaluation copy of CVISION PDFCompressor
uest
ions
to a
sk y
our
GP
e fo
llow
ing
ques
tions
may
hel
p yo
u w
hen
you
see
your
and
if yo
u ha
ve k
ept a
sym
ptom
dia
ry d
on't
forg
et to
ke it
alo
ng to
the
cons
ulta
tion
Giv
en m
y se
t of s
ympt
oms
wha
t do
you
thin
k co
uld
be w
rong
with
me?
Why
do
you
thin
k I n
eed
to s
ee a
cons
ulta
nt a
t the
hos
pita
l?
Are
ther
e an
y te
sts
that
can
be
done
at th
e su
rger
y?
How
qui
ckly
will
I be
see
n? A
re y
oure
ferr
ing
me
as 'u
rgen
t' or
'non
urg
ent'?
Am
I m
ore
likel
y to
get
colo
rect
al c
ance
r th
an a
nyon
e el
se?
Is th
ere
anyt
hing
I ca
n do
to le
ssen
the
risk
of g
ettin
g co
lore
ctal
can
cer?
Wha
t do
Isay
to m
y fa
mily
?
Do
I com
e to
you
if m
ysy
mpt
oms
chan
ge o
r w
orse
n?
If I a
m w
orrie
dw
ho c
an It
alkt
o?
Eve
ry y
earie
r33
,000
peo
ple
are
affe
cted
by
colo
rect
alca
ncer
and
nea
rly16
,000
peo
ple
die
ort -
dise
ase
Can
cer
Res
earc
h U
1998
/200
0
PDF compression, OCR, web optimization using a watermarked evaluation copy of CVISION PDFCompressor
3duc
e yo
ur r
isks
ere
is a
lot y
ou c
an d
o to
red
uce
the
risk
ofve
lopi
ng c
olor
ecta
l can
cer.
Her
e ar
e so
me
eful
mea
sure
s yo
u ca
n ta
ke:
t to
know
you
r bo
wel
pat
tern
IThi
s
will
ena
ble
you
to k
now
wha
t is
norm
al fo
r yo
u an
d to
rec
ogni
se
whe
n an
d if
any
chan
ges
occu
r. L
ook
in th
e to
ilet b
owel
and
look
for
chan
ges
in y
our
mot
ions
.
oid
cons
tipat
ion
IIfyo
u ar
e st
rain
ing
to g
o to
the
toile
t or
are
pass
ing
hard
dry
mot
ions
, you
are
mos
t lik
ely
to b
e co
nstip
ated
. Con
stip
atio
n sl
ows
dow
n th
e pa
ssag
e of
was
te p
rodu
cts
thro
ugh
our
dige
stiv
e sy
stem
, allo
win
g w
aste
to r
emai
n in
the
syst
em fo
r lo
nger
than
nor
mal
. Mot
ions
sho
uld
be k
ept s
oft t
o m
ove
thin
gs q
uick
ly th
roug
h th
e co
lon.
:rea
se th
e am
ount
of f
ibre
Fib
re h
elps
bul
k th
e m
otio
ns a
nd s
peed
s th
e pa
ssag
e of
was
te th
roug
h th
e
dige
stiv
e sy
stem
. Hav
ing
enou
gh fr
esh
frui
t and
veg
etab
les
in y
our
daily
diet
will
hel
p th
e co
lon
to e
mpt
y its
elf f
requ
ently
and
eas
ily (
at le
ast f
ive
port
ions
of f
ruit
and
vege
tabl
es p
er d
ay a
re r
ecom
men
ded)
.
wer
the
fat
IDie
ts
low
in a
nim
al a
nd d
airy
fats
are
kno
wn
to r
educ
e th
e ris
k of
deve
lopi
ng c
olor
ecta
l can
cer.
Cut
ting
dow
n on
vis
ible
fat s
uch
as fr
ied
food
, trim
min
g ex
cess
fat o
n m
eat a
nd p
oultr
y an
d re
duci
ng th
e am
ount
of 'h
idde
n' fa
t in
food
s su
ch a
s ch
ocol
ate,
bis
cuits
and
cak
es w
ill h
elp
the
func
tion
of th
e co
lon.
<e
enou
gh fl
uids
Drin
king
ple
nty
of fr
esh
fluid
s, w
ater
in p
artic
ular
, will
hel
p to
kee
p th
e
mot
ions
sof
t and
mov
ing
thro
ugh
the
colo
n. Id
eally
, we
shou
ld b
e dr
inki
ng
betw
een
2 an
d 3
litre
s (a
ppro
xim
atel
y 3.
5 pi
nts)
of w
ater
eac
h da
y.
Red
uce
the
caffe
ine
drin
ksD
rinks
suc
h as
tea,
cof
fee,
and
the
popu
lar
non-
alco
holic
bed
time
drin
ks c
onta
in c
affe
ine,
whi
ch e
ncou
rage
s th
e flu
id w
e dr
ink
to p
ass
quic
kly
via
our
wat
erw
orks
rat
her
than
circ
ulat
e
thro
ugh
the
colo
n. C
affe
ine-
free
flui
ds h
elp
to
mai
ntai
n a
soft
mot
ion
and
assi
st th
e tr
ansi
t of
was
te p
rodu
cts
thro
ugh
the
colo
n.
Red
uce
your
alc
ohol
con
sum
ptio
nN
o m
ore
than
3-4
uni
ts a
day
for
men
and
2-3
units
a d
ay fo
r w
omen
(on
e un
it is
hal
f a
pint
of b
eer
or a
125
ml g
lass
of w
ine)
as
alco
hol
may
wel
l be
a ris
k fa
ctor
.
Wat
ch y
our
wei
ght
8O
verw
eigh
t peo
ple
have
an
incr
ease
d ris
k of
dev
elop
ing
colo
rect
al c
ance
r.
You
can
mai
ntai
n a
desi
rabl
e bo
dy w
eigh
t by
bala
ncin
g w
hat y
ou e
at w
ith
phys
ical
act
ivity
. You
r G
P o
r P
ract
ice
Nur
se w
ill b
e ab
le to
dis
cuss
you
r
idea
l wei
ght a
nd th
e be
st w
ay fo
rwar
d if
you
need
to lo
se w
eigh
t.
Intr
oduc
e ex
erci
seT
he c
olon
nee
ds to
be
fit to
cop
e w
ith th
e da
ily w
ork
it ha
s to
dol
Abo
ut
20 m
inut
es o
f mod
erat
e da
ily e
xerc
ise
ever
y da
y w
ill h
elp
the
pass
age
of
was
te th
roug
h yo
ur s
yste
m.
Red
uce
smok
ing
If yo
u ar
e a
smok
er tr
y an
d re
duce
the
amou
nt y
ou s
mok
e, a
s th
is m
ay w
ell
be a
ris
k fa
ctor
.
way
s yo
u ca
nhe
lp y
ours
elf
PDF compression, OCR, web optimization using a watermarked evaluation copy of CVISION PDFCompressor
:ree
ning
yet i
n th
e U
K, t
here
is n
o na
tiona
l scr
eeni
nggr
amm
e fo
r co
lore
ctal
can
cer.
How
ever
, the
NH
S is
rren
tly c
arry
ing
out p
ilot s
tudi
es to
exa
min
e th
e be
stth
od o
f scr
eeni
ng fo
r th
e ge
nera
l pub
lic to
det
ect t
he;e
ase
in it
s ea
rlier
sta
ges.
If yo
u no
tice
any
of th
e sy
mpt
oms
desc
ribed
in th
is
book
let o
r ar
e in
the
'at r
isk'
gro
up th
en m
onito
r yo
ur
tions
and
dis
cuss
the
chan
ges
with
you
r G
P.
:c In
folin
eC
CC
Info
line
is a
tele
phon
e in
form
atio
n se
rvic
e gi
ving
adv
ice
on a
ll
ects
of c
olor
ecta
l can
cer.
Our
nur
ses
are
avai
labl
e to
adv
ise
on a
ll
ies
incl
udin
g pr
even
tion,
sym
ptom
s, te
sts
and
trea
tmen
t opt
ions
.
Impo
rtan
ce o
f ear
ly d
etec
tion
Pat
ient
s w
hose
can
cer
has
not s
prea
d be
yond
the
inne
r
linin
g of
the
bow
el h
ave
a m
uch
high
er c
hanc
e of
succ
essf
ul tr
eatm
ent c
ompa
red
to th
ose
who
se c
ance
r
has
beco
me
mor
e w
ides
prea
d. E
arly
dia
gnos
is is
ther
efor
e
very
impo
rtan
t.
If di
agno
sed
in th
eea
rlier
sta
ges,
colo
rect
al c
ance
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