Colon cancer is America's #2 cancer killer. Many think of it as a "man's disease" but it actually strikes an equal number of men and women every year. It primarily affects those over age 50, but can be found in younger individuals who have a family history of colon cancer. The chance that an average risk woman will develop colon cancer in her lifetime is 5-6%. In its early stages, it typically produces no symptoms. Symptoms, when present, may include blood in the stool, unintentional loss of weight, change in bowel habits (i.e. new constipation or diarrhea) or new abdominal pain.

THE GOOD NEWS ABOUT COLON CANCER:
Colon cancer may be prevented by removing pre-cancerous colon polyps. This can be done at the time of colonoscopy, if polyps are found. Organizations such as the American Cancer Society and American College of Gastroenterology recommend that all persons (men and women) begin colon cancer screening at age 50. This usually includes a screening colonoscopy.

In preparation for colonoscopy, the colon is prepared by ingesting a liquid diet on the day prior to the procedure and then taking a strong laxative on the night prior. By having the colon as clean (empty) as possible prior to the exam, the colon may be more completely examined for polyps. If there is residual stool in the colon, then there is a chance that small polyps could be obscured. Sedation is giving during the colonoscopy. This includes a medication that acts as a sedative/amnestic another that acts as an analgesic/pain reliever. As a result, the vast majority of patients report that the colonoscopy is painless (many do not even remember having the procedure!). Our goal is certainly to keep our patients as comfortable as possible!

What may increase a woman's risk of colon cancer?

• Family history of colon cancer or colon polyps
• Diabetes or insulin resistance
• Heavy alcohol consumption (3 or more drinks per day)
• Cigarette smoking
• Chronic diseases of the digestive tract ( i.e. Ulcerative Colitis or Crohn's Disease)

How might I decrease my risk of colon cancer?

• Increase fruit & vegetable intake
• High fiber diet
• Calcium (1000-1250 mg/day)... which women should already be taking for osteoporosis prevention!
• Folic acid (400 mcg/day)
• Daily exercise

For more information, please visit :

www.acg.gi.org/patients/women/colon.asp