Colorectal Cancer Prevention

In some people it is clear why they developed colorectal cancer -- they inherited it; but, in many people, there is no identifiable cause. Without a known cause it makes colorectal cancer prevention difficult. Research has suggested that aspirin and other nonsteroidal anti-inflammatories (NSAIDs) may help prevent colorectal cancer. It is also believed that eating a healthy diet with plenty of fiber, not smoking, and getting exercise may help prevent colorectal cancer.

Diet and Exercise for Colorectal Cancer Prevention

Experts recommend that as an initial step towards prevention of colorectal cancer, people concerned about getting colorectal cancer should exercise and eat right. The American Cancer Society recommends at least 30 minutes of physical activity on 5 or more days of the week.

The National Cancer Institute recommends a low-fat, high-fiber diet that includes at least 5 servings of fruits and vegetables each day. To reduce fat in your diet, change your eating and cooking habits. Major sources of fat are meat, eggs, dairy products, and oils used in cooking and salad dressings. To increase the amount of fiber in your diet, eat more vegetables, fruits, and whole-grain breads and cereals.

In addition, some studies suggest that daily folic acid supplementation can lower colorectal cancer risk. Other studies suggest that increasing calcium and vitamin D intake will lower the risk. Talk to your doctor before changing your diet or taking any supplements.

Aspirin for Colorectal Cancer Prevention

It has been proposed that aspirin may stop colorectal cancer cells from multiplying. In addition, other non-steroidal anti-inflammatory drugs (NSAIDs, such as Aleve and Motrin) may reduce the size of polyps in the colon, and therefore, the risk of colon cancer. But, this belief has not been well established and the proper dosage needed to create this potentially risk-reducing effect is not yet known. In addition, not everyone can tolerate aspirin or other NSAIDs due to gastrointestinal problems, an increased risk of bleeding, medication interactions, or other medical problems. If you are at high risk of developing colon cancer, you should not start taking aspirin or other NSAIDs until you discuss it with your doctor.

Screening for Colorectal Cancer

Colorectal cancer -- and most health problems -- respond best to treatment when they are diagnosed and treated as early as possible. To catch any abnormalities or problems early, you will need regular checkups from your doctor, including a rectal exam, fecal occult blood test, and possibly a sigmoidoscopy or colonoscopy. Screening recommendations depend upon an individual's risk of colorectal cancer.

Reviewed by the doctors at The Cleveland Clinic Taussig Cancer Center.