Understanding the Rising Rates of Colorectal Cancer
Colorectal cancer rates among young people (ages 18-50) have been increasing significantly over the past 20 years. While cases in older adults have remained steady, younger populations have seen a 15-25% rise.
Why Are More Young People Affected?
While the exact causes are still unclear, possible factors include:

- Genetics: A family history of colorectal cancer may increase risk.
- Lifestyle Changes: Diet, exercise, and overall health habits could play a role.
- Environmental Exposures: Toxins or other environmental factors may contribute.
Signs and Symptoms to Watch For
Early detection is critical. If you notice any of the following symptoms, talk to your doctor:
- Changes in bowel habits: Frequent diarrhea, constipation, or changes in stool consistency.
- Blood in the stool: Even small amounts should be reported to a doctor.
- Abdominal pain or cramping: Persistent discomfort could be a warning sign.
- Unexplained weight loss: Losing weight without trying may indicate a health issue.
- Fatigue or weakness: Feeling constantly tired can be a symptom of many conditions, including colorectal cancer.
When to See a Doctor
- If you notice blood in your stool, speak with a healthcare provider immediately.
- Any persistent changes in digestion or bowel habits should be discussed with your doctor.
- People with a family history of colorectal cancer may need earlier screenings.
Advances in Testing and Screening
Colorectal cancer screening guidelines have changed in response to rising cases. Current recommendations include:
- Regular screenings now start at age 45 (previously 50).
- High-risk individuals may need earlier screenings based on family history.

- Screening options:
- Non-invasive stool tests: These can detect blood or abnormal DNA in the stool.
- Colonoscopy (the gold standard): A camera is used to examine the colon, and any abnormal growths can be removed or biopsied.
Treatment Options
If colorectal cancer is detected, several treatment options are available:
- Surgery: Removing cancerous areas of the colon.
- Chemotherapy: Using medications to kill cancer cells.
- Radiation Therapy: Targeting cancer cells with high-energy rays.
- Immunotherapy: A newer treatment that targets cancer at the genetic level.
Prevention and Lifestyle Changes
While some risk factors (like genetics) can’t be changed, you can lower your risk with healthy habits:
- Eat a healthy diet: Focus on fiber-rich foods, fruits, and vegetables while limiting red and processed meats.
- Exercise regularly: Aim for at least 30 minutes of physical activity most days of the week.
- Avoid smoking and excessive alcohol consumption: Both can increase cancer risk.
- Know your family history: If colorectal cancer runs in your family, talk to your doctor about early screening options.


Colorectal cancer in young people is rising, but early detection and healthy lifestyle choices can help. If you have concerns, talk to a provider at Valley Health.