Working adults and retirees may be far removed from school and the stresses that come with high-stakes testing.No matter our age, though, were not done taking tests. Unlike the pop quiz in English literature, algebra or world history, the tests we take as older adults are some of the most important exams in our lives.Colorectal cancer is one of the most common cancers and the second-most common cause of cancer death in the U.S. and  worldwide. The American Cancer Society estimates that two-thirds of colorectal cancer deaths occur in patients over 65. However, if caught early, cancer of the colon is highly treatable and often curable.In 2021, the U.S. Preventive Services Task Force lowered the recommended testing age for colorectal cancer from 50 to 45 due to an increase in its incidence among younger individuals. Gen Xers, Baby Boomers and older generations who are up to date on their testing likely have already completed a colonoscopy, the gold standard of testing for this dangerous cancer. This screening test is highly important because colorectal cancer often doesnt have symptoms in the initial stages.The screening uses a scope to look for polyps, a small clump of cells that forms on the lining of the colon. Most colon polyps are harmless, but some can become cancerous. When cancer forms in a polyp, it grows into the wall of the colon and eventually can spread to distant parts of the body. During a colonoscopy, the doctor can remove colorectal polyps to help prevent cancer.While the test itself is done under general anesthesia, the preparation for a colonoscopy is often what people dislike. To make sure doctors can see polyps, the colon must be clean and empty before the procedure. That means everything in your bowel must go, which is accomplished by drinking large volumes of water mixed with a laxative the day before, and sometimes the morning before, the procedure. The liquid results in diarrhea and considerable time in the bathroom as your colon is cleared. You will also be on a clear-liquid diet the day of the procedure.The preparation can be unpleasant. Perhaps that is why four in 10 Americans aged 45 and older are not up to date on their colorectal cancer screenings, according to the American Cancer Society.But there is good news. People who dont have other risk factors generally only need to have a colonoscopy every 10 years. Also, a lot has changed in recent years. Today, the preparation liquid (often a gallon) does not need to be consumed in one sitting and may be taken the night before and the next morning, making it more tolerable. The solutions are also better-tasting than they once were.Also, there are some alternatives, including lower-volume solutions and a pill prep involving 12 tablets taken twice with large amounts of water. In addition, the FDA has approved three types of stool tests to screen for colorectal cancer at home. They should be completed every one to three years. If a stool test is positive, which doesnt always mean cancer is present, a follow up colonoscopy is necessary.   There are things we can do to prepare for a colonoscopy to make the preparation less unpleasant:         The less you have in your stomach before colonoscopy preparation, the easier it will be. Start eating smaller portions and reducing fiber five to seven days in advance.         The week before a colonoscopy, avoid nuts and seeds, popcorn, red meat, raw vegetables, corn, peas, broccoli, cabbage, dried beans, whole grain bread and pasta, brown or wild rice, fruit with skins, fried foods and cereals like oatmeal, shredded wheat and granola.          Chill any liquid preparation, as it is often easier to drink when its cold.         Use a straw to bypass the tastebuds in your mouth as you drink the preparation.         Suck on lemon slices or sugar-free menthol candy while you drink or after each sip to help with the taste.         Mix in sugar-free water flavorings that are clear, not red, blue or purple.         If nausea was an issue during a previous preparation, ask your doctor for anti-nausea medicine in advance. While age is a risk factor for developing colorectal cancer, increasing physical activity, maintaining a healthy weight, not smoking and limiting alcohol can reduce the risk of developing colorectal and other cancers. Even if you were inactive in your younger years, becoming active when you are older can lower your risk.Your primary care doctor can help you keep track of preventive services, like screening tests and vaccines, as well as help make lifestyle recommendations such as diet and exercise to help reduce risk for illness.About the AuthorJaimenee Jaime Khemraj is chief medical officer for Healthcare Network, which has practices throughout Collier County offering family care, dental care and pharmacy as well as behavioral health counseling. For more information, visit HealthcareSWFL.org, or to schedule an appointment, please call 239-658-3000. 

Early Detection of Colorectal Cancer Can Save Your LifeColorectal cancer, sometimes referred to as colon cancer, is one of the leading causes of cancer-related deaths in the United States, but with early detection and proper treatment, it can be prevented and managed. March is Colorectal Cancer Awareness Month, and at Assisting Hands Home Care, we want to spread awareness and educate the public on the importance of screening and early detection.Colorectal cancer begins in the colon or rectum and can spread to other parts of the body if not detected early. The good news is that colorectal cancer can often be prevented with regular screening and detected early through screening tests such as colonoscopies. The American Cancer Society recommends that people at average risk of colorectal cancer start regular screening at age 45 and continue until age 75.Symptoms of colon cancer can include changes in bowel habits, rectal bleeding, abdominal pain, weakness, and fatigue. If you experience any of these symptoms, seeing a doctor promptly is important.There are several risk factors that can increase the chances of developing colon cancer, including age, family history of colorectal cancer, personal history of colorectal polyps, a personal history of inflammatory bowel disease, and lifestyle factors such as a diet high in red and processed meats and low in fruits and vegetables, as well as physical inactivity and smoking.To reduce the risk of colon cancer, medical experts often recommend a diet low in animal fats and high in fruits, vegetables, and whole grains to reduce the risk of other chronic diseases, such as coronary artery disease and diabetes.According to the NIH, a significant association was observed between high nut consumption and a reduction in colorectal cancer among women (in those with an intake of 3 servings of nuts per week compared to those that declared no nut consumption).Some studies suggest that people may reduce their risk of developing colon cancer by increasing physical activity, keeping a healthy weight, limiting alcohol consumption, and avoiding tobacco. For more information on reducing your risk, visit the CDC website.At Assisting Hands Home Care, we understand the importance of early detection and management of colorectal cancer. Our trained and compassionate care providers are available to assist with transportation to and from doctor appointments and provide support during recovery from any necessary treatments. We also offer assistance with daily activities such as meal preparation and housekeeping, allowing our clients to focus on their health and recovery.In conclusion, colorectal cancer is a serious health concern, but regular screening and early detection can prevent and manage it. At Assisting Hands, we are committed to educating and supporting our clients and their families on the importance of colorectal cancer awareness and early detection. If you or a loved one is in need of support and assistance during a cancer journey, contact us today to learn more about our in-home care services.To find an Assisting Hands location near you, visit https://assistinghands.com/location-finder/

As you may have guessed from the pink merchandise flooding the stores, October is Breast Cancer Awareness Month. What you may not realize is that breast cancer is the second most common cancer for women in the United States, right behind skin cancer. Breast cancer research has resulted in the development of many new treatments that have saved countless lives. However, the best possible outcome would be learning how to prevent breast cancer from ever occurring in the first place.! Fortunately, there are steps you can take toward preventing breast cancer in your own life. Studies have shown that certain lifestyle changes make a big impact and can decrease the risk of breast cancer even in women who are considered high-risk.What You Should Know About Breast CancerBreast cancer begins in the breast, but it can spread when cancer cells enter the bloodstream or lymphatic system and are transported to other parts of the body. Lymph nodes are part of the lymphatic (or lymph) system, which carries lymph fluid through tissues and into the blood. The lymph fluid contains immune system cells, along with tissue by-products and waste materials. With breast cancer, cancer cells begin to grow in the lymph nodes around the breasts. These small glands are located under the arm, near the breastbone, and around the collar bone. When cancer spreads from the breast to the lymph nodes, theres an increased risk that it will metastasize (spread) to other parts of the body.Breast Cancer VarietiesTypes of breast cancer are determined by the specific kind of cells that are affected. The most common breast cancers are carcinomas. Once a biopsy is done, the doctor will test the cells for proteins called estrogen or progesterone receptors, and for the HER2 gene or protein. At the same time, the tumor cells will be examined in the lab to determine the grade of tumor. Knowing the specific proteins and tumor grade is important for determining the stage of cancer and the best options for treatment.Early Diagnosis Is CrucialCatching breast cancer early is an important part of successful treatment. Thats why its vital to check for lumps and changes to your breasts, have regular checkups, and get mammograms and other screenings when your doctor recommends it. The risk of breast cancer increases with age, and for women over 70, theres a 1 in 24 chance of developing breast cancer, according to the National Cancer Institute. Treatments are highly individualized, and healthy, active, independent patients are most likely to experience a good outcome.Lifestyle Changes Can HelpWhether your focus is the prevention of breast cancer, or youve already had a diagnosis and want the best possible outcome, a healthy lifestyle is a crucial component of good health, regardless of your age. Here are some steps you can take to live a healthier life, and reduce your risk of breast cancer.Dont smoke. Smoking doesnt just raise your breast cancer risk; it increases the risk of at least 15 cancers! Additionally, smoking is linked to heart disease and stroke. One of the best things you can do for your overall health is to avoid smoking or quit if youre already a smoker.Limit alcohol consumption. Research indicates that drinking alcohol increases the risk of breast cancer, and the more you drink the higher your risk. Even small amounts can raise your risk, so stick to one drink or fewer per day.Be careful with hormonal treatments. Hormone therapy can increase the risk of breast cancer, particularly if its taken for more than three to five years. If you and your doctor decide that short-term hormone therapy is the best option for you, take the lowest dose of hormones that works for you. A common question is whether birth control pills have an impact on breast cancer risk. Before 1985, birth control pills had higher estrogen levels than they do now. This was linked to a slight increase in breast cancer risk, though that risk level returned to normal 10 years after discontinuing birth control. Todays birth control pills have not been linked to an increased breast cancer risk.Women who breastfeed have a reduced risk of cancer. Breastfeeding a baby for at least one year can help lower the risk of breast cancer, and the longer you nurse, the higher the level of protection will be.Avoid radiation as much as possible. Make sure that you only get procedures involving radiation when its absolutely necessary, as these medical imaging tests have been linked to breast cancer.Maintain a healthy weight. Being overweight increases the risk of breast cancer and other medical issues. Obesity that happens after menopause is particularly significant for breast cancer risk. Staying at a healthy weight will not only reduce your risk of breast cancer but will also help your overall health.Stay active. Exercise is a great way to keep your weight in check, and research shows that women who walk 30 minutes each day have a reduced risk of breast cancer. According to the Department of Health and Human Services, 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity are recommended each week, along with strength training twice a week.Eat a nutritious diet. Are there foods that prevent breast cancer? Not necessarily, but a diet full of nutrients can reduce your risk, and it also helps decrease the risk of diabetes, heart disease, and stroke. The Mediterranean diet is an excellent example, focused on fruits and vegetables, whole grains, legumes, nuts, lean proteins, and healthy fats.