Can Young Adults get Colorectal Cancer Can Young Adults get Colorectal Cancer
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Can Young Adults Get Colorectal Cancer?

14 January 2026 · 4 mins read

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Do you believe you are too young to get colorectal cancer? Learn the risks, symptoms, and prevention methods for young adults. Book an appointment now!
Colorectal cancer is usually thought of as a disease in older adults, but new research shows it’s becoming more common in younger people. Today, about one in ten new cases is diagnosed in someone 50 or younger. This trend highlights the importance of recognising early‑onset colorectal cancer and raising awareness, especially for those with family history or troubling symptoms

An Overview of Colorectal Cancer and Its Effects on Young Adults

Colorectal cancer develops in the colon or rectum and usually starts as benign polyps that turn cancerous over time. While this condition was a rare occurrence in young adults, incidence rates have been continuously rising since the 1990s.

Rising Cases Among Youths

More young adults are being diagnosed with colorectal cancer nowadays compared to before. This spike in cases is also due to diet changes, inactive lifestyles, and obesity. 

Common Symptoms in Young Adults

Young adults with colorectal cancer may notice symptoms like bloody stools, long-term constipation or diarrhoea, unexplained weight loss, fatigue, and abdominal pain. These symptoms are usually misattributed to less severe conditions such as irritable bowel syndrome or haemorrhoids, delaying diagnosis.

Causes of Colorectal Cancer Occurring in Young Adults

Early-onset colorectal cancer causes are complex and multifactorial. Although genetics play a part in certain cases, lifestyle habits and environmental exposures are big contributors to this condition. 

Diet and Nutrition

Diets rich in red meat, processed foods, and low in fibre have been associated with an increased risk of colorectal cancer. Processed meats are specifically connected to carcinogenic compounds.

Obesity and Inactivity

Obesity elevates the resistance to inflammation and insulin, both of which may boost cancer development. An inactive lifestyle worsens these risks.

Genetic Mutations

Certain young adults inherit genetic conditions like Lynch syndrome or familial adenomatous polyposis (FAP), which elevate the risk of colorectal cancer.

Inflammatory Bowel Disease

Conditions like ulcerative colitis and Crohn's disease cause chronic inflammation in the colon, elevating cancer risk as time passes.

Smoking and Alcohol

Heavy smoking and an overconsumption of alcohol have also been connected to early-onset colorectal cancer.

Gut Microbiome Imbalance

An unhealthy gut microbiome fueled by diet and antibiotics may boost inflammation and cellular alterations that cause cancer.

Chronic Health Risks for Young Adults with Colorectal Cancer

Diagnosing colorectal cancer in young adults reveals unique difficulties in the long run. Patients may experience physical and emotional consequences beyond treatment.

Increased Risk of Recurrence

Colorectal cancer survivors, especially those diagnosed at a young age, are at a more elevated risk for recurrence and require frequent follow-ups.

Chronic Fatigue

Treatment can cause constant fatigue, which affects work, education, and social life.

Bowel Dysfunction

Surgical and radiation treatments may lead to lasting bowel issues like constipation, diarrhea, or incontinence.

Peripheral Neuropathy

Chemotherapy can cause nerve damage, leading to numbness, tingling, or pain in the hands and feet.

Extended Mortality Risk

Late-stage diagnoses and complications can elevate the risk of mortality. However, initial detection notably improves prognosis.

Lifestyle Changes

Keeping a healthy lifestyle after treatment is important for decreasing the risk of recurrence and managing chronic symptoms.

Treatment Options for Young Adults with Colorectal Cancer

The treatment options for young adults with colorectal cancer are similar to the older crowd but may be more intensive depending on the disease’s stage and personal health factors. 

Surgery

Surgical resection of the tumour and nearby lymph nodes is usually the initial line of treatment. A colostomy may be required in certain cases.

Chemotherapy

Chemotherapy may be used before or after surgery to decrease the size of the tumour or kill residual cancer cells.

Radiation Therapy

This is frequently used for rectal cancer to shrink tumours before surgery or decrease the risk of recurrence after surgery.

Immunotherapy

Apparent treatments include immune checkpoint inhibitors, specifically in tumours with specific genetic markers.


Frequently Asked Questions (FAQ)

  1. Why is colorectal cancer becoming more prevalent in young adults?
  2. Although the exact cause is unclear, it is believed that the increase in obesity, poor diet, inactivity, and environmental factors are contributory.

  3. What is the best age to start screening if I have a family history of colorectal cancer?
  4. You may need to start screening at 40 years old or younger if you have a first-degree relative diagnosed with colorectal cancer; it depends on your doctor’s advice. 

  5. Can lifestyle adjustments decrease my risk of colorectal cancer?
  6. Yes. Consuming a fibre-rich diet, exercising frequently, not smoking, and controlling your alcohol intake can decrease your risk.

  7. What are the survival rates like for young adults with colorectal cancer?
  8. Survival rates for young adults with colorectal cancer are high when detected early. However, it may be the opposite for young adults who were diagnosed at late stages. This emphasizes the importance of colorectal cancer awareness and screening.  

  9. Is there a lower likelihood of young adults getting screened for colorectal cancer?
  10. Indeed, young adults frequently put off getting medical help because they think they are too young, which could result in a later diagnosis.


Schedule an Appointment at Gleneagles Hospitals

The increasing number of colorectal cancer cases in young adults is a worrying trend that demands awareness. Although age was once considered a protective factor, more young adults are now facing the reality of a cancer diagnosis. Knowing the initial signs and symptoms, adopting healthy lifestyle habits, and prioritising frequent screening are important steps in reducing risk.

Do not wait—schedule your appointment today and begin your journey toward better health. Our team is here to support you every step of the way. You may also book an appointment via our website or download our My Health 360 application, which can be obtained from the Google Play Store or Apple App Store.

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