Colorectal (large intestine and rectum) cancer
Colorectal or large intestine and rectal cancer is the third largest cancer case in the world. In Nepal, colorectal cancer is increasing day by day. This cancer is caused by an abnormal growth in the cells of the large intestine and is gradually invading or spreading to other parts of the body.
Most colorectal cancers are caused by lifestyles and aging, and only a small number are due to heredity.
Ninety percent of people over the age of 6 are at risk of cancer. So after 5 years, regular screening should be done.
Although colorectal cancer is occurring with age, it is also seen in younger generations. But it rarely happens.
Especially in those who eat more red meat, lack physical exercise, eat less fiber, eat obesity, and have problems with large intestine in people who smoke and drink alcohol.
Diabetes can also cause problems with the colon. In some cases, there is a risk of colorectal cancer in patients with inflammatory bowel disease, such as inflammatory bowel disease in the large intestine and small intestine.
A small tumor (in the form of a polyp) appears from the inner layer of the large intestine and, as it grows, turns into cancer. If not treated immediately after being transformed into cancer, it grows to a larger size and can spread to other parts of the body through blood vessels. If found at the beginning, it can be completely cured.
Symptoms of colorectal cancer
If you have problems with the intestine or have cancer, you may not see any symptoms at all. Most problems show symptoms only after they have taken a large turn. People who are aware of their health can find out when they undergo regular checkups under normal circumstances.
If you have colorectal cancer, you will usually see blood in the diarrhea, change in the habit of diarrhea, lose weight and feel tired. This may be a sign of regular disturbance for a few days. Constipation or diarrhea should be consulted immediately if constipation occurs.
Treatment of colorectal cancer
Even if you have cancer, you need not be afraid. In the initial stages, 90 percent can be completely cured. For some, the probability is low.
Small polyps that appear on the inner surface of the large intestine will turn into cancer only after 3-5 years. Since polyps and early cancer do not show any symptoms, it is important for everyone over the age of 6 to undergo colonoscopy. If no polyp is seen then it can be re-tested only after 2 years.
Whole bowel screening is done by colonoscopy by inserting a camouflaged pipe from the rectum. If a polyp is found during colonoscopy, then biopsy shows that there is no cancer. If a polyp appears, treatment should be started.
How many are treated with colorectal cancer through surgery? Some are undergoing chemotherapy and some are treated with radiation. If the cancer is in its early stages, the cancerous part is removed from the surgery.
Regarding eliminating all cancer from the surgery depends on the patient’s health. If the cancer has increased slightly, chemotherapy and surgery will also be needed. Some have to pay chemo before and after the operation.
Patients with rectal cancer may also need radiation along with chemo before and after the operation. But radiation is not needed in the colon (colon).
If the cancer has spread and it has progressed, chemotherapy is treated more than operation.
Patients ‘perceptions of what treatment, how to do it, consultations with the patient’s family relatives and doctors’ discussions are of the utmost importance.
Cancer treatment is not just medicine, operations and therapy, but also counseling according to the patient’s personal perception. Counseling is an important factor in boosting patients’ confidence and enhancing their ability to fight the disease.
Since any disease can relate to other diseases as well, the decision is taken only after consultation with all the pathologists.
During the treatment of cancer, all the doctors including surgeons, chemo therapists, oncologists, radiologists, medicine, pathologists, radiologists, psychologists are treated together. This is what we call multi-disciplinary treatment.
Multidisciplinary treatment is important when treating any disease. This is the way we treat people.
Measures to prevent colorectal cancer
A healthy lifestyle is a diagnosis of every disease. Fiber-rich foods prevent any disease. Therefore, eat more fiber containing fiber (greens, fruits, vegetables). It is best to avoid red meat, fatty foods, including sugary and spicy foods, smoking, and alcohol.
Weight should be reduced if weight is high. After age 5, screening should be done from time to time. Like; Colonoscopy and other tests should be done in 2-3 years.
Some cancers do not have symptoms but may become cancerous. Therefore, the body should be examined periodically as you get older. If the family has a history of colorectal cancer, it should be checked early.
I would like to advise everyone that if we examine our body from time to time, it will save us from various diseases. We are in the habit of spending a lot of money on other things but not paying much attention to health. It is customary to go to the doctor only if the disease is infected. Even if we reduce our other expenses and put our health first, the big problems that come up tomorrow can be avoided.