Doctor Warns Breathlessness and Fatigue Could Indicate Bowel Cancer
Breathlessness, fatigue, and unexpected urges to use the toilet could be lesser-known indicators of bowel cancer, a leading doctor has revealed. This warning comes as the disease remains the UK's second biggest cancer killer, claiming nearly 17,000 lives annually.
Rising Cases and the Importance of Early Detection
Bowel cancer is the fourth most common cancer in the UK, with over 44,100 new diagnoses each year. Alarmingly, it has become one of the fastest-rising cancers among younger generations, affecting increasing numbers of people under 40 and 50 who often dismiss the possibility.
Dr. Tang, a GP at Pall Mall, emphasized the critical need for early detection. "Bowel cancer is the second biggest killer next to lung cancer," he stated. "Unfortunately, most cases are diagnosed at an advanced stage, limiting treatment options to surgery and chemotherapy. However, if caught early, it can usually be cured."
Common and Lesser-Known Symptoms
The three primary symptoms of bowel cancer include blood in stools, changes in bowel habits such as more frequent or looser stools, and persistent abdominal pain. However, Dr. Tang highlighted that these are often mistaken for less serious conditions like IBS, piles, or food intolerances.
He advised, "If any of these symptoms persist for more than a couple of weeks, do not dismiss them. It is wise to get them checked out."
In addition to these well-known signs, Dr. Tang pointed out several lesser-known symptoms that could indicate advanced or early-stage bowel cancer:
- Shortness of breath: This may signal that cancer has spread to other parts of the body.
- Fatigue: Severe exhaustion that does not improve with rest, often linked to internal bleeding and anaemia.
- Anaemia: Caused by tumour bleeding, leading to reduced red blood cells and symptoms like dizziness, weakness, and rapid heartbeats.
- Urge to poo: A feeling of needing to defecate without producing stool, possibly due to a tumour causing obstruction.
Risk Factors and Screening Recommendations
Dr. Tang noted that nine out of ten cases occur in individuals over 60, but risk factors extend to younger groups. "Those who eat low-fibre diets and processed meats are at higher risk," he explained. "Being overweight and inactive can also increase your chances."
To combat late diagnoses, he urged participation in the NHS bowel cancer screening programme, known as the FIT Test, available for those aged 60 and over. "If you receive a test kit, I urge you to use it and send it off—it might just save your life," he stressed.
Breaking the Stigma Around Toilet Habits
Marking Bowel Cancer Awareness Month in April, Dr. Tang encouraged open discussions about toilet habits to reduce embarrassment and promote early detection. "We all use the toilet—even royalty. It's as natural as night follows day," he said. "If you notice changes, don't hold it in. Talk to friends, loved ones, and healthcare providers."
Key Symptoms to Monitor
It is essential to understand what is normal for your body and act on any changes. Key symptoms to watch for include:
- Blood in your stool (bright red or darker)
- Persistent changes in bowel habits, such as increased frequency, diarrhoea, or constipation
- Ongoing abdominal pain or cramping
- A sensation of not fully emptying your bowels
- Unexplained weight loss
- Unusual tiredness or fatigue, often related to anaemia
Dr. Tang concluded with a firm reminder: "If something doesn't feel right, don't ignore it. Even mild or intermittent symptoms warrant a check-up to ensure early intervention and better outcomes."
