Rectal Bleeding in Young Adults Linked to 8.5 Times Higher Risk of Colorectal Cancer

Healthcare provider speaking with young patient
Recent research indicates that rectal bleeding can be a warning sign for colorectal cancer in younger adults. Getty Images
  • Researchers report that rectal bleeding is a strong sign of young-onset colorectal cancer in adults under 50.
  • Specialists say that individuals under 50 who experience this symptom should undergo a colonoscopy to screen for colorectal cancer.
  • Incidence of early onset colorectal cancer in young adults have been rising for more than a ten years.

Bleeding from the rectum is a clear indicator that young adults may have colorectal cancer, based on a new study.

Researchers reported that rectal bleeding in younger adults raises the odds of a colorectal cancer identification by 8.5 times.

The researchers arrived at their conclusions after analyzing 443 patients under 50 who had a colonoscopy at a medical center between 2021 and 2023.

Among the participants, 195 were diagnosed with early-onset colorectal cancer while the remaining individuals had clear colonoscopy results.

The scientists said that the vast majority of the young cancer patients underwent a colonoscopy because of signs, not because of regular check-ups.

They added that a significant percentage of the cancer patients had no family history of the disease.

In addition, people who had used tobacco in the past were more than two times as likely to develop early onset colorectal cancer as people who were non-smokers.

The researchers’ research was shared this week at a professional gathering. The results have yet to be released in a scientific publication.

Rectal Bleeding Could Signal Colorectal Cancer

The researchers stated that their study demonstrates that young adults as well as healthcare providers should take rectal bleeding as a significant sign of colorectal cancer.

“Many of the early-onset colorectal cancers that I encounter have no family history,” said a colorectal surgeon and senior author of the research. “This research lends support to the issue of who does or doesn’t require a colonoscopy: if you have a person below the recommended age with rectal bleeding, you should strongly think about a colonoscopy.”

Experts consulted who were independent in the study agreed with this conclusion.

“Young people with rectal bleeding should get a colonoscopy,” advised a cancer specialist. “The most difficult message to get across is that colorectal cancer is a disease of young people.”

Another cancer surgeon said that doctors should not assume that rectal bleeding in younger adults is caused by piles.

“Colorectal cancer is a younger individual’s disease,” he said. “We can no longer dismiss symptoms such as rectal bleeding in younger individuals.”

A senior vice president of cancer screening research at a major cancer organization concurs.

“Doctors often downplay symptoms of colorectal cancer in younger adults, believing that the probability of the symptoms being caused by colorectal cancer are remote because the individual is under 50,” the expert said. “The study results are expected. Persistent rectal bleeding is not normal and the cause should be promptly examined.”

A cancer specialist said that the research is an important warning to people below the age of 50.

“Don’t ignore any signs,” he said. “This research delivers this message a little louder.”

Bowel Cancer Instances Rising in Young Adults

A national cancer institute estimates there will be over 150,000 new cases of colorectal cancer diagnosed in the United States this year.

Over one hundred thousand of those cases will be colon cancer, while just under fifty thousand will be rectal cancer.

The diagnoses are split roughly equally between men and females.

Colorectal cancer is the third most common cause of cancer-related deaths in men and the fourth most common leading cause in women in the United States. It’s the second most frequent prevalent cause of cancer deaths in total. Colorectal cancer is expected to cause approximately 53,000 deaths this year.

The cancer organization states that the rate of people being found with colorectal cancer in the United States has been declining about 1% per year since the mid-1980s. They attribute timely testing and changes in daily routines.

Nevertheless, they point out that the downward trend is primarily occurring in older adults. In people below 50, the incidence of colorectal cancer detection increased over two percent per year between 2012 and 2021.

The death rate from colorectal cancer has also been decreasing moderately in the general public, but it has been increasing somewhat in individuals under 50.

In fact, colon cancer is the leading cause of cancer-related death in adults ages 20 to 49 in the United States.

An specialist said that people born around 1990 have double the likelihood of colorectal cancer compared with people born around 1950.

“These dangers are increasing and are carried forward as people get older, meaning we observe more diagnoses of colorectal cancer both below and above age 45,” he said.

Doctors are unsure what is causing the rise in early onset colorectal cancer, but nutrition, lack of physical activity, and excess weight are among the possible causes.

Another specialist mentioned there are also some theories that the excessive use of antibiotics as well as swelling in the body may be helping increase colorectal cancer incidence.

In addition, there has also been some study indicating that intestinal bacteria may also play a role.

One specialist suggested that exposure to this type of microbes as a child may cause colorectal cancer to appear 20 to 30 years later.

“We’re continuing to working to understand everything out,” he said.

The Importance of Colorectal Cancer Tests Matter

Medical experts state that colorectal cancer is curable if detected in its initial phases. In later stages, it can be fatal.

They say that’s why screenings are crucial.

Present guidelines suggest males and females to begin being tested for colorectal cancer at age 45.

In addition, screenings may be required before age 45 if a person has a genetic background of colorectal cancer or has certain medical conditions such as bowel inflammation.

It’s advised that colonoscopy screenings be done once a decade for people with no genetic risk of the condition and no polyps found during the procedure. The interval between tests can be shorter for other patients.

Colonoscopies are typically regarded as the most effective test for colorectal cancer, but alternative methods, such as at-home stool kits, can also be used.

In addition to rectal bleeding, additional signs of colorectal cancer include:

  • change in bowel habits
  • diarrhea
  • constipation
  • cramping or stomach pain
  • unexpected weight loss

An expert adds that family history should never be ignored.

“Individuals should know their family history of cancer and any diagnosis of colorectal cancer among family members should be discussed with their doctor, especially if family members were diagnosed at a young age,” he said.

How to Reduce Your Chances of Bowel Cancer

There are a variety of ways a person can reduce their likelihood of colorectal cancer. Among them:

  • Healthy diet: Eating patterns rich in unhealthy fats and low in dietary fiber are associated with an increased risk of colorectal cancer. Beef and processed foods have been demonstrated to raise the danger. Protein from chicken, seafood, and beans is regarded as a healthier option. High-fiber foods, including produce, greens, and grains, may lower the risk of colorectal cancer.
  • Regular exercise: A major health organization suggests 2.5 hours of moderate physical activity a week. {Regular|Consistent
Amy Goodman
Amy Goodman

Lena is a digital strategist with over a decade of experience in helping businesses scale through innovative marketing techniques.