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Who's at Risk for Colon Cancer?

Colon (or colorectal) cancer is the third most commonly diagnosed cancer in the United States. In most cases, colon cancer is preventable and, if caught early, very treatable, so regular screenings are important.

Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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HCA Houston Healthcare

Who’s at Risk for Colon Cancer?

A Friendly Guide by Gastrodoxs

Colon cancer is one of the most common cancers in the U.S. Anyone can get it, but some factors can increase your risk. At Gastrodoxs.com, we believe that knowing the risks helps you take control.
This guide explains who’s most at risk for colon cancer in simple terms. You’ll learn how age, family history, diet, polyps, and certain diseases affect your chances. We’ll also cover the role of genetics, lifestyle, screening tips, and where to get care in Houston. Let’s jump in!

1. Age and Family History

Age Increases Risk

Family History Matters

Dr. Bharat Pothuri says: “Family history is one of the strongest predictors. If your close relatives had colon cancer, you may need earlier and more frequent screenings.”

2. Personal History of Polyps

What Are Polyps?

Polyps are small growths inside the colon. Most are harmless, but some types—like adenomatous polyps—can turn into cancer.

Higher Risk with Polyps

Follow-Up Timing:

Dr. Pothuri says: “Catching polyps early helps prevent cancer. Your colonoscopy report tells a story—make sure to understand it.”

3. Diet and Colon Cancer

Diet Makes a Big Difference

What you eat daily affects your colon over time. Some foods raise your risk; others protect it.

Foods That Increase Risk

Foods That Lower Risk

Tip: Swap hot dogs for grilled fish. Add fresh salad to meals.

4. Inflammatory Bowel Diseases (IBD) and Colon Cancer

What Is IBD?

IBD includes ulcerative colitis and Crohn’s disease—both cause long-term inflammation in the digestive tract.

Why IBD Raises Risk

Dr. Pothuri says: “Managing inflammation and getting regular colonoscopies are key. We work closely with GI experts across Houston to care for our IBD patients.”

5. Hereditary Colon Cancer Syndromes

What Is Genetic Counseling?

Genetic counseling reviews your family’s health history. You may be referred for genetic testing.

Common Genetic Syndromes

Why It Helps

Dr. Pothuri says: “Genetic counseling helps people make smart choices. It tells us when to screen and what steps to take next.”

6. Lifestyle and Environment

Sedentary Lifestyle and Obesity

Smoking and Alcohol

Easy Lifestyle Tips

7. Screening: When and How

For Most Adults

For Higher-Risk Groups

Dr. Pothuri says: “Screening saves lives. Houston has great endoscopy centers. Don’t delay care.”

8. Where to Get Colon Cancer Care in Houston

Dr. Pothuri says: “In Houston, you’ll find expert care and community support at every stage.”

9. Risk Factors vs. What You Can Do

Risk Factor What to Do
Age 45 or older Start regular screening
Family history of colon cancer Screen 10 years before your relative was diagnosed
Past polyps Get scoped every 1–5 years
Ulcerative colitis or Crohn’s (8+ years) Yearly or every-other-year colonoscopy
Lynch syndrome or FAP Genetic counseling and early/frequent screenings
Processed/red meat diet Eat more fiber and plant-based foods
Lack of exercise/obesity Be active and manage weight
Smoking and heavy drinking Quit smoking and limit alcohol

10. Key Takeaways

Dr. Pothuri says: “The more you know, the more power you have. At Gastrodoxs, we’re here to guide you every step of the way.”

Helpful Resources

Final Thoughts

Colon cancer is serious—but preventable. By knowing the risks, eating well, getting screened, and staying active, you take control of your health.
Dr. Bharat Pothuri and the team at Gastrodoxs are here to help Houston stay informed and healthy. Visit Gastrodoxs.com for more tips and updates.

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

1. When should I get screened for colon cancer?

Start at 45 if you're at average risk. With family history, start earlier—about 10 years before your relative was diagnosed.

2. How often do I need a colonoscopy if I had polyps?

It depends. Low-risk polyps: every 5 years. High-risk ones: every 1–3 years.

3. Should I see a genetic counselor even without a known syndrome?

Yes, if several close relatives had colon or related cancers.

4. Can diet alone prevent colon cancer?

No, but it helps. Eat fiber-rich foods and limit red or processed meats. Combine this with exercise and screening.

5. Does ulcerative colitis always cause cancer?

Not always. But longer and more severe disease raises the risk. Regular checkups are key.

6. Are stool tests good enough?

They’re helpful but not perfect. A positive result usually means you need a colonoscopy.

7. Does being overweight really raise my risk?

Yes. Especially belly fat. It leads to more inflammation, which may lead to cancer.

8. Can I get screened in Houston without insurance?

Yes. Harris Health and other programs offer affordable options.

9. What if colon cancer runs in my family?

Tell your doctor. You may need earlier tests and genetic counseling.

10. Where can I find a specialist in Houston?

Try Houston Methodist or MD Anderson. You can also check our Resources page at Gastrodoxs.com.

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