Fatigue may be attributed to menstrual blood loss or iron deficiency, while abdominal bloating and changes in bowel habits may be mistaken for hormonal changes, irritable bowel syndrome, or diet-related symptoms, said Clin Asst Prof Wong.
“Additionally, some women may delay seeking medical attention due to caregiving responsibilities or the assumption that they are too young to be at risk,” she added.
Dr Ong noted that nearly three in five patients, both male and female, are diagnosed at a late stage (Stage 3 or 4). He recalls a 39-year-old patient who had persistent fatigue for over a year, and was later diagnosed with Stage 3 cancer.
“She attributed the fatigue to her heavy menses, and didn’t undergo further evaluation for her anaemia,” said Dr Ong. The patient sought help after she kept vomiting from a bowel blockage, and had to undergo emergency surgery.
Symptoms to look out for include unexplained weight loss, persistent fatigue (often linked to anaemia), changes in bowel habits or stool consistency, blood in stools or rectal bleeding. There may be general abdominal discomfort, like bloating, fullness, cramps or gas.
“In general, pay attention to symptoms that are new, persistent, keep getting worse or unusually severe,” Clin Asst Prof Wong said.
MAKE COLORECTAL SCREENING PART OF YOUR WOMEN’S HEALTH ROUTINE
Clin Asst Prof Wong advised women to incorporate colorectal screening as part of their routine preventive health, alongside breast and cervical cancer screening, rather than as something separate.
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