Featured Guest: Dr. Nicole Powell, DNP, FNP-C – MedLink Winder

What Is Colon Cancer?

Colon cancer, also known as colorectal cancer (CRC), is a type of cancer that develops in the colon or rectum, both parts of the digestive system. Most cases begin as small, noncancerous growths called polyps. Over time, some of these polyps can become cancerous, making early detection and routine screening critical for preventing and treating this disease effectively.

Why Colon Cancer Screening Is So Important

Colon cancer is one of the most common cancers worldwide, especially in developed countries. Factors like age, genetics, diet, and lifestyle all contribute to its prevalence.

Key Reasons to Screen for Colorectal Cancer:

  • Early detection saves lives – Identifying cancer or precancerous polyps before symptoms arise increases the chance of successful treatment.
  • Screening can prevent cancer – Removing polyps during a colonoscopy can stop cancer before it starts.
  • It’s easier to treat in early stages – Stage 1 colorectal cancer has a much higher 5-year survival rate compared to later stages.

When Should You Start Colon Cancer Screening?

The U.S. Preventive Services Task Force and CDC now recommend beginning routine colon cancer screening at age 45 for most adults. However, some individuals may need to begin earlier.

Start screening earlier if you:

  • Have a family history of colon cancer, especially if a relative was diagnosed at a young age.
  • Experience digestive changes, such as:
    • Persistent change in bowel habits
    • Unexplained blood in the stool
    • Ribbon-like or thin stools
    • Unexplained abdominal discomfort

In those cases, testing is not just routine screening — it becomes diagnostic.

Common Screening Options for Colorectal Cancer

There are several effective options available for colon cancer screening. Let’s break down the most common tests and their pros:

  1. FIT Kit (Fecal Immunochemical Test)
  • Detects hidden blood in the stool that may indicate polyps.
  • Non-invasive, done at home.
  • Performed annually if results are negative.
  • Limitation: Blood could be from non-cancerous causes like hemorrhoids or constipation.
  1. Cologuard Test
  • A DNA-based at-home screening test.
  • More specific than FIT – detects abnormal DNA as well as blood.
  • Performed every three years if negative.
  • Results are picked up from your home, offering more privacy.
  1. Colonoscopy
  • Considered the gold standard for colon cancer screening.
  • Involves a camera to view the colon and remove polyps during the procedure.
  • Screening intervals vary based on findings:
    • No polyps: Return in 7–10 years.
    • Multiple polyps: Return in 3–5 years.
  • Also used diagnostically if symptoms are present.

How Screening Saves Lives

Regular screening can reduce mortality by catching cancer early when it’s easier to treat. Detecting colorectal cancer at stage 1 offers a significantly better survival rate than catching it at stage 4, where it may have spread to other organs.

Common Barriers to Colon Cancer Screening — And How to Overcome Them

Despite the benefits, many people still avoid screening. Here are some common concerns and how we address them:

At-Home Stool Tests (FIT & Cologuard):

  • Discomfort with handling stool: Gloves and clear instructions are provided.
  • Embarrassment dropping off a sample: Cologuard offers discreet at-home pickup.

Colonoscopy:

  • Fear of invasive procedures or anesthesia
  • Negative experiences shared by others
  • Prep process discomfort: Patients drink a mixture of Miralax and clear Gatorade the day before. Though not always pleasant, it’s manageable and necessary for clear results.

“My sister just had a colonoscopy, and her biggest complaint wasn’t the procedure—it was drinking all that Gatorade!” – Dr. Nicole Powell

Financial Concerns:

  • Uninsured or cash-paying patients may hesitate due to cost.
  • Good news: At MedLink, free Cologuard kits are currently available for sliding fee and cash pay patients, thanks to a partnership with Exact Sciences.

Final Thoughts: Let’s Break the Stigma

Colorectal cancer screening doesn’t have to be scary or embarrassing. With multiple screening options, financial assistance, and compassionate providers, MedLink Georgia makes it easier than ever to prioritize your health.

💡 Talk to your provider today about which screening is right for you. Early detection can save your life.

Need Help or Have Questions?

📍 Visit MedLink Winder or any of our MedLink locations across Georgia.
📞 Call us or request an appointment online.
💙 We’re here to help you take charge of your health — one screening at a time.