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Bowel cancer mostly affects people over the age of 50, but recent evidence suggests it is on the rise among younger Australians.

Our study found bowel cancer incidence is falling in older Australians. This is likely, in part, to reflect the efficacy of the National Bowel Cancer Screening Program, targeted at those aged 50–74 to screen for bowel cancer using a free, simple test at home. Bowel cancer screening acts to reduce cancer incidence, by detecting and removing precancerous lesions, as well as reducing mortality by detecting existing cancers early.

Why bowel screening is important

Bowel cancer often develops without any symptoms. The cancer can grow in the bowel for years before spreading to other parts of the body. Very small amounts of blood can leak from these growths and pass into your faeces (poo). These tiny amounts of blood are not noticeable just by looking. The bowel screening test is called an immunochemical faecal occult blood test (iFOBT). It can detect these tiny amounts of blood in your poo.

What are symptoms of bowel cancer?

  • Blood in your poo or rectal bleeding
  • A recent, persistent change in bowel habit (e.g. diarrhoea, constipation or the feeling or incomplete emptying)
  • A change in the shape or appearance of your poo (e.g. narrower poos or mucus in poo)
  • Abdominal pain or swelling
  • Pain or a lump in the anus or rectum
  • Unexplained anaemia causing tiredness, weakness or weight loss

Can bowel cancer be prevented?

While there’s no way to prevent bowel cancer completely, several diet and lifestyle choices can lower your bowel cancer risk:

  • Keep physically active for at least 30 minutes each day.
  • Reduce alcohol intake to no more than 2 standard drinks per day, or avoid it altogether.
  • Include dairy products such as low-fat milk, yoghurt and cheese in your daily diet, with at least 2 serves per day.
  • Include wholegrains and fibre, such as brown rice, wholemeal bread, vegetables, fruits, beans and nuts.
  • Limit red meat consumption to 500 grams cooked per week and avoid processed meat altogether.
  • Quit smoking and avoid breathing in tobacco smoke.

When should I see my doctor?

  • See your doctor or healthcare professional if you have blood in your stool, unexplained changes in your bowel habits, tiredness, abdominal pain or any other symptoms that may indicate bowel cancer.
  • Since bowel cancer can develop with few signs early on, you should also speak with your doctor if you know of any pre-existing risk factors, or if you are concerned about getting it later in life.

Please refer to below links for more details:

https://www1.racgp.org.au/newsgp/clinical/what%E2%80%99s-behind-the-increase-in-bowel-cancer-among-y

https://www.healthdirect.gov.au/bowel-cancer

https://www.health.gov.au/initiatives-and-programs/national-bowel-cancer-screening-program/about-the-national-bowel-cancer-screening-program

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01/03/2021 Health News

Ovarian Cancer

2021 is the year we celebrate 20 years of improving support and awareness for ovarian cancer and making incremental progress in care and treatment.

February is Australia’s Ovarian Cancer Awareness Month, to raise awareness of signs and symptoms and to highlight the risk factors for ovarian cancer.

In 2016, 1289 new cases of ovarian cancer were diagnosed in Australian women. The risk of being diagnosed before age 85 is 1 in 85.

In 2018, there were 968 deaths caused by ovarian cancer in Australia.

The five year survival rate for ovarian cancer is 45.7%.

 What is ovarian cancer?

Ovarian cancer occurs in female organs(ovary) when cells in one or both ovaries become abnormal, grow out of control and form a lump called a maglignant tumour.

The ovaries are typically a pair of  essential organs in the female reproductive system located in each side of the uterus. They produce eggs and hormones

Sometimes an ovarian tumour is diagnosed as borderline (also known as a low malignant potential tumour). This is not considered to be cancer.

Ovarian cancer symptoms

Ovarian cancer can go undetected until it has spread within pelvis and stomach. Often this cancer can be difficult to diagnosed as it has no symptoms in early stages. Here are some symptoms you may experience one or more of the following:

  • abdominal bloating
  • difficulty eating or feeling full quickly
  • frequent or urgent urination
  • back, abdominal or pelvic pain
  • constipation or diarrhoea
  • menstrual irregularities
  • tiredness
  • indigestion
  • pain during intercourse
  • unexplained weight loss or weight gain.

These symptoms can be caused by other conditions but if you are experiencing any of these symptoms, contact your local doctor.

What causes ovarian cancer?

The causes of most cases of ovarian cancer are unknown, but some factors below can increase the risk include:

  • age – risk increases in women over 50 and in women who have stopped having periods (have been through menopause), and the risk increases with age
  • genetic factors  up to 20% of serous ovarian cancers (the most common subtype) are linked to an inherited faulty gene, and a smaller proportion of other types of ovarian cancer are also related to genetic faults
  • family history – family history of diagnosed with ovarian, breast, bowel or uterine cancers & Ashkenazi Jewish descent
  • endometriosis  this condition is caused by tissue from the lining of the uterus growing outside the uterus
  • reproductive history  women who have not had children, who have had assisted reproduction, or who have had children over the age of 35 may be slightly more at risk
  • lifestyle factors  some types of ovarian cancer have been linked to smoking or being overweight
  • hormonal factors  such as early puberty or late menopause. Some studies suggest that menopause hormone therapy (MHT), previously called hormone replacement therapy (HRT), may increase the risk of ovarian cancer, but the evidence is not clear.

Some factors reduce the risk of developing ovarian cancer. These include having children before the age of 35; breastfeeding; using the combined oral contraceptive pill for several years; and having your fallopian tubes tied (tubal ligation) or removed.

Diagnosis of ovarian cancer

If you are experiencing possible symptoms of ovarian cancer your doctor may suggest several tests or scans to look for cysts, tumours or other changes. These may include:

Physical examination

  • In which the doctor will check your abdomen for any lumps and do an internal vaginal examination.

Blood tests

  • To check for a common tumour marker for ovarian cancer, CA125.

Pelvic ultrasound

  • A pelvic ultrasound uses echoes from soundwaves to create a picture of your ovaries and uterus.

CT scan

  • A CT (computerised tomography) scan uses x-rays to take images of the inside of your body to check for cancer and to see if it has spread.

PET scan

  • A PET (positron emission tomography) scan highlights abnormal tissues in the body.

 Why regular health checks are important

It is a good idea to visit a doctor regularly, even if you feel healthy. The purpose of these visits is to:

  • check for current or emerging medical problems
  • assess your risk of future medical issues
  • prompt you to maintain a healthy lifestyle
  • update vaccinations.

Health checks are usually incorporated into routine medical care. Your doctor will often perform these checks when you are visiting for another condition, such as a cold or another problem. Your doctor will then tell you how often you need to have a health check.

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