It's March. And that means it's the national month for Brain Injury Awareness, Endometriosis Awareness, Nutrition Awareness, Eye Health and Safety Awareness, Multiple Sclerosis Awareness, Sleep Awareness, Problem Gambling Awareness and my favorite, for the purposes of The Cancer Blog -- Colorectal Cancer Awareness.

Colorectal cancer -- cancer of the colon or rectum -- is a disease that affects both men and women and is preventable nearly 90 percent of the time.

Starting at age 50, men at women at average risk for the disease should get screened. Those with increased risk, like African-Americans who typically develop colorectal cancer at younger ages, should be screened even earlier.

Screening -- by way of fecal occult blood test (FOBT), flexible sigmoidoscopy, and colonoscopy -- is critical because colorectal cancer often occurs with no symptoms. Symptoms do sometimes present themselves in the later stages of the disease and include rectal bleeding, bright red blood in or on the stool, change in bowel habits, stools that are narrower than usual, general stomach discomfort, diarrhea, constipation, frequent gas pains, unexplained weight loss, constant fatigue, and vomiting. Persistence of any of these symptoms for more than two weeks warrant an immediate visit with a health professional.

Treatment for this disease, which strikes about 153,000 people and causes about 52,000 deaths each year, includes surgery, radiation, and chemotherapy.

In the spirit of this National Colorectal Awareness Month, experts recommend remembering these important points:

• Colorectal cancer can be prevented.
• Screening for the disease can identify polyps -- grape-sized growths in the colon and/or rectum -- that can be removed to prevent cancer from developing.
• The magic age for screening is 50 -- unless you have an increased risk for the disease.
• Colorectal cancer is treatable.
• Regardless of your age, know the risk factors, know the symptoms, and know your family history.
• Talk with your health professional about colorectal cancer and your own risk for the disease.

Colorectal cancer screening prevents more deaths due to early detection than breast or prostate cancer screening. The University of Michigan Comprehensive Cancer Center recently published a report on the 12 myths about colon cancer and getting to know them could save your life and the lives of your family and friends. Colon cancer is the second leading cause of cancer death in the United States, and the number one cause of cancer death among non-smokers.

Symptoms of colon cancer can include severe abdominal pain, blood in the stool or rectal bleeding, unexplained loss of weight, or major changes in bowel habits (recurrent constipation or diarrhea). But, these symptoms often do not occur until the cancer is in its more advanced stages. An absence of symptoms does not mean an absence of cancer. In fact colon cancer is often referred to as a "silent killer" because of the lack of symptoms until it is in advanced stages. A colonoscopy is the only method that can actually help prevent you from developing colon cancer in the future because during the screening colonoscopy, if the doctor finds polyps, they can remove them from your colon as part of the procedure, preventing the polyps from ever having the chance to develop into cancer. If the polyps found in your colon happen to already be cancerous, they can often be removed during your colonoscopy and treatment can begin right away.

When colon cancer is caught early, it has a 95 percent survival rate. That's why screening is so important. Once colon cancer has spread to the liver, it's usually deadly, with only a 9 percent survival rate. Colonoscopy screening is recommended for men and women beginning at age 50, unless other risk factors exist such as family history, obesity, smoking, ulcerative colitis or Crohn's disease.

Before I had my first chemotherapy treatment I was told that to prevent from getting nauseous and vomiting as a side effect that I could take a pill. I mean, what is worse than being nauseous all the time? Not too many things. I was prepared after my first chemotherapy of Adriamycin and Cytoxan to be leaning over the toilet for a long time. This vision was what I expected to happen and I tried to be ready for it knowing that the anti-nausea drugs given aren't always effective for everyone. I did end up spending a lot of time near the toilet after taking Zophran, an anti-nausea medication, but I spent that time on the toilet, not leaning over it!

A 1/3 cup serving of cooked garbanzo beans contains around 80 calories, no cholesterol, lots of complex carbohydrates, and little fat. In addition, beans are a good source of B vitamins, potassium, and fiber, which promotes digestive health and relieves constipation. Eating beans may help prevent colon cancer, and reduce blood cholesterol which is a leading cause of heart disease.

Hummus is relatively cheap to make with either dried or canned chickpeas. I prefer to cook my own beans. In a stockpot, bring 5 cups water to a boil. Add 1 cup dried garbanzo beans and return to a boil. Remove from the heat; cover tightly and set aside at room temperature 2-3 hours. Drain and rinse the beans. Return the soaked, rinsed beans to the stockpot. Cover the beans with 3 times their volume of water. Bring to a boil and reduce the heat and simmer gently, uncovered, stirring occasionally, until tender. Approximately 1 to 1 1/2 hour. Make sure beans do not boil dry and add a little water as needed. When the beans are tender, drain and immerse them in cold water until cool, then drain well again.

Vicki's Hummus
2 cups cooked garbanzo beans rinsed and drained
3 cloves garlic chopped
1/4 cup lemon juice
1/4 cup olive oil
1 teaspoon sesame oil
2 Tablespoons freshly chopped parsley 
1/2 cup tahini
1 teaspoon sea salt
1 pinch cayenne pepper
1 pinch cumin powder

Serve with slices of cucumbers, wedges of tomatoes, slices of pita bread, or tortilla chips.

 

 

When my treatment for breast cancer was just around the corner, I asked a nurse about a dietitian on staff who I might talk to -- or a nutritionist or anyone who could help me wrap my head around eating right and staying healthy and maintaining my weight during treatment. I was told that I didn't need to talk to anyone -- that I would likely not lose any weight and would be fine. I was aware at the time that a referral to a dietitian often occurs with weight loss associated with treatment -- but it seemed that a referral for merely staying on track was just as important. Yet this seemed not to be an issue.  And I never was referred to anyone. So I found someone on my own -- and independent nutritionist who came to my house just after my first dose of chemotherapy, on a day when I felt nauseated and foggy and sick. It was a perfect time to talk to someone about how to eat during this difficult time, and the wisdom that was shared with me is as fresh in my mind today as it was 18 months ago -- when I sat at my dining room table with my mom and a young woman who knew exactly what I wanted to know.