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

Healthcare provider speaking with youthful individual
Recent study shows that rectal bleeding can be a red flag for colorectal cancer in individuals under 50. Getty Images
  • Scientists report that rectal bleeding is a significant sign of young-onset colorectal cancer in adults under 50.
  • Experts say that individuals under 50 who notice this sign should undergo a colon examination to check for colorectal cancer.
  • Incidence of early onset colorectal cancer in younger individuals have been rising for more than a decade.

Rectal bleeding is a clear indicator that individuals under 50 may have colorectal cancer, based on a new study.

Scientists reported that rectal bleeding in younger adults raises the likelihood of a colorectal cancer diagnosis by 8.5 times.

The scientists arrived at their conclusions after examining 443 patients under 50 who had a colonoscopy at a university health system between 2021 and 2023.

Of the participants, nearly 200 were diagnosed with young-onset colorectal cancer while 248 individuals had clear colonoscopy results.

The researchers noted that 88% of the younger individuals with cancer had a colonoscopy because of symptoms, not because of regular check-ups.

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

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 scientific study was shared this week at a professional gathering. The findings have not been published in a scientific publication.

Bleeding from the Rectum Could Signal Bowel Cancer

The researchers said that their research shows that young adults as well as healthcare providers should consider rectal bleeding as a important indicator of colorectal cancer.

“A large number of the young-onset colorectal cancers that I encounter have no genetic predisposition,” commented a colorectal surgeon and senior author of the study. “This research adds weight to the question of who does or doesn’t require a colonoscopy: if you have a person under the screening age with rectal bleeding, you should seriously consider a colonoscopy.”

Specialists consulted who were not involved in the study agreed with this assessment.

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

Another cancer surgeon said that medical professionals should no longer assume that rectal bleeding in younger adults is caused by hemorrhoids.

“Colorectal cancer is a young person’s condition,” he said. “We can no longer take for granted symptoms such as rectal bleeding in younger individuals.”

A senior vice president of early cancer detection research at a national cancer institute concurs.

“Doctors often downplay symptoms of colorectal cancer in individuals under 50, believing that the probability of the signs being caused by colorectal cancer are unlikely because the individual is too young,” the expert noted. “The research findings are not surprising. Ongoing rectal bleeding is abnormal and the source should be promptly examined.”

A cancer specialist commented that the study is an important reminder to people under the age of 50.

“Pay attention to any symptoms,” he said. “This research sends this warning a little louder.”

Colorectal Cancer Instances Rising in Young Adults

A major cancer organization estimates there will be over 150,000 diagnoses of colorectal cancer identified in the United States this year.

More than 100,000 of those instances will be colon cancer, while just under fifty thousand will be rectal cancer.

The diagnoses are divided roughly equally between males and women.

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

The cancer organization states that the rate of people being diagnosed with colorectal cancer in the United States has been decreasing approximately 1% per year since the mid-1980s. They attribute timely testing and improvements in lifestyle habits.

However, they point out that the decrease is mostly occurring in older adults. In people under 50, the rate of colorectal cancer diagnosis rose over 2% per year between 2012 and 2021.

The mortality rate from colorectal cancer has additionally been declining slightly in the overall population, but it has been increasing slightly in individuals under 50.

In fact, colon cancer is the primary reason of cancer death in adults ages 20 to 49 in the United States.

An specialist noted that people born approximately 1990 have twice the risk of colorectal cancer relative to people born approximately 1950.

“These risks are increasing and are carried forward as people get older, meaning we observe an increasing number of cases of colorectal cancer before and after age 45,” he explained.

Doctors are unsure what is driving the increase in early onset colorectal cancer, but diet, sedentary lifestyle, and obesity are among the possible causes.

Another specialist said there are also some theories that the excessive use of antibiotics as well as swelling in the body may be contributing to increase colorectal cancer rates.

In addition, there has also been some study indicating that gut microbes may additionally be involved.

One specialist suggested that exposure to this kind of bacteria as a youngster may cause colorectal cancer to appear 20 to 30 years later.

“We’re still trying to figure everything out,” he commented.

The Importance of Colorectal Cancer Screenings Are Important

Medical experts say that colorectal cancer is treatable if caught in its early stages. In later stages, it can be deadly.

They say that’s why examinations are vital.

Current recommendations call for males and females to start being screened for colorectal cancer at age 45.

Furthermore, screenings may be required prior to age 45 if a person has a genetic background of colorectal cancer or has specific health issues such as inflammatory bowel disease (IBD).

It’s advised that colonoscopy examinations be done every 10 years for people with no family history of the disease and no growths found during the exam. The time between tests can be shorter for different patients.

Colon examinations are typically considered the most effective test for colorectal cancer, but other tests, such as at-home stool kits, can also be used.

Besides rectal bleeding, other signs of colorectal cancer include:

  • alteration of bowel habits
  • diarrhea
  • constipation
  • cramping or stomach pain
  • unexplained weight loss

An specialist notes that family history should never be ignored.

“Individuals should be aware of their genetic background of cancer and any identification of colorectal cancer among family members should be talked about with their physician, particularly if family members were found at a young age,” he advised.

How to Reduce Your Chances of Colorectal Cancer

There are a number of ways a individual can lower their risk of colorectal cancer. These include:

  • Healthy diet: Diets rich in fat and low in dietary fiber are associated with an increased chance of colorectal cancer. Red and processed meats have been demonstrated to increase the risk. Nutrition from chicken, seafood, and beans is considered a better choice. High-fiber foods, including fruits, vegetables, and cereals, may lower the risk of colorectal cancer.
  • Physical activity: A leading health organization recommends 2.5 hours of moderate-intensity physical activity a week. {Regular|Consistent
Lori Benitez
Lori Benitez

A certified wellness coach and mindfulness expert with over a decade of experience in holistic health practices.