College student with blood in the stool In April last year, Li, a freshman in a university, accompanied by his parents to the outpatient clinic and asked for a colonoscopy. I checked the medical history and said that he often had blood in the stool. He has been treated as hemorrhoids, but the symptoms of hemorrhoids have become worse recently. However, the colonoscopy the next day announced a cruel fact: Li had bowel cancer in the sigmoid colon. Further examination revealed that the cancer had spread to the pelvic cavity and the opportunity for radical resection had been lost. When the patient finished the examination, the mother who had endured the grief for a long time could no longer bear it, tears fell on the child's hand.
Impatient: Preventing colorectal cancer in young people without delay
In recent years, the incidence of colorectal cancer has increased year by year, and there is a trend of younger generation. There is a shocking statistical data. Foreign literature reports that colorectal cancer patients younger than 30 years old account for 1% of the total number of colorectal cancers, while data from China shows that it has exceeded 10%.
Four characteristics of young people with colorectal cancer:
One is that early detection is less. The digital rectal examination is not included in the routine physical examination options. Young people are not vigilant about the disease, and young women are even more ashamed of the examination. The diagnosed patients are 50% to 80% of the patients in the middle and advanced stages. Once diagnosed, almost all patients are in the middle and late stages.
The second is the high degree of malignancy. Among young people diagnosed with colorectal cancer, more than 60% have metastasized.
Third, there are many missed diagnoses. Clinical statistics found that the average time for colorectal cancer patients under 35 years old from feeling unwell to seeing a doctor and finally being diagnosed is 5 to 15 months, and 70% of patients are misdiagnosed as hemorrhoids, enteritis, and intestinal worms.
Fourth, there are many invasive cancers. The so-called infiltration refers to the ability of cancer cells to spread to surrounding or deep tissues. Compared with colorectal cancer of middle-aged and elderly people, colorectal cancer of young people has poorer differentiation (immaturity) of cancer cells and strong infiltration ability. It is easier to spread, so the prognosis is worse, and its 5-year survival rate is only 1/4 of that of middle-aged and elderly patients with colorectal cancer.
People with blood in the stool, frequent diarrhea, abdominal pain, and family history should be alert
1. Blood in the stool: Be careful with blood in the stool for more than a week. Blood in the stool is common in some young people with irregular diet and constipation. Most people will self-diagnose hemorrhoids and are ashamed to go to the hospital, especially some unmarried women. This is understandable, but one principle must be mastered: if there is bleeding a week after the medication, or if the symptoms recur after the medication improves, you must go to the hospital in time. Distinguish between colorectal cancer and hemorrhoids: The early symptoms of colorectal cancer have many similarities with hemorrhoids, so it is important to distinguish colorectal cancer and hemorrhoids early. The common point of colorectal cancer and hemorrhoids is blood in the stool, but there are three main differences: one is the increase or irregularity of the stool frequency of patients with colorectal cancer, while the hemorrhoid patients generally do not increase the frequency of stool; the second is bleeding and bleeding The condition is different. Colorectal cancer bleeding, blood and stool are often mixed together, causing more bleeding, while hemorrhoids bleeding usually occurs before or after stool, and the amount of bleeding is small; third, colorectal cancer develops to a certain degree, usually abdominal pain, but hemorrhoids will not stomach ache. Of course, it is best to go to the hospital and consult a doctor as soon as you discover a problem.
2. Diarrhea: Don't take diarrhea seriously. Some young people will have diarrhea if they don't pay attention to their diet, and some will have constipation from time to time. Neglecting to check, or thinking that colorectal cancer is an elderly person's problem, relax your vigilance, in fact, there are often dangers hidden in it. There was a patient with a long history of diarrhea. Relatives and friends urged him to come to the hospital for colonoscopy. As a result, a problem was found in the sigmoid colon, and he was diagnosed with early colon cancer after the operation. Because of the early discovery, the treatment effect is very good. If he is half a year later, it may be late. Therefore, for patients with long-term diarrhea and constipation, if the effect of the medication is not good, further examination is required to rule out the possibility of bowel cancer.
3. Abdominal pain: Intestinal cancer must be ruled out for patients with abdominal pain. Abdominal pain and discomfort are common among young people. Because they can relieve themselves, they are easily ignored by patients. Only when the abdominal pain is severe, will you come to the hospital for treatment. For example, patients with bowel cancer are often accompanied by bowel obstruction at this time, and the condition has been delayed. Therefore, for patients with long-term abdominal pain, colonoscopy is recommended, and symptomatic treatment should be given after excluding space-occupying lesions.
4. Family history: genetic, prompt early screening. If parents or immediate family members (such as grandfather, grandfather, uncle, aunt, etc.) have a history of colon cancer or colon polyps, they should pay more attention to them and accept screening consciously. Once stool bleeding, diarrhea, stool deformation and other abnormalities are found, it is necessary to contact a doctor in time for further examinations for early detection of problems and early treatment.
In fact, early prevention and treatment of colorectal cancer invades young people, as long as they are more vigilant and see a doctor early, it is completely possible. For common symptoms such as stool bleeding, changes in stool habits (constipation or diarrhea), and abdominal pain, young people should abandon fluke mentality, and go to the hospital when problems are found. Digital rectal examination, barium enema, and colonoscopy are found for colorectal and rectal diseases. "Three Magic Weapons".In the past, people had a fear of colonoscopy and thought it would be uncomfortable, but with the development of painless endoscopy, people's acceptance of colonoscopy has greatly increased. At the same time, medical workers should also be vigilant. Age should not be used as an absolute criterion for certain diseases, and attention should be paid to the main complaint of patients and various necessary examinations. As long as everyone has such a "string" in their hearts, early diagnosis and early treatment will surely be possible, and the quality of life of young patients with colorectal cancer will be improved.