By Dr. Jeremy Wigginton
Colorectal cancer is no longer a disease seen mainly in older adults. Rates have been rising among people under age 50, yet many younger adults are not getting tested early – when the disease is most preventable and treatable.
National guidelines now recommend that most adults begin colorectal cancer screening at age 45. According to the most recent statistics available, only 37% of adults ages 45 to 49 were up to date on their colorectal cancer screening.
This gap matters. New data show the largest increases in colorectal cancer rates are occurring among people ages 20 to 49, and younger adults are more likely to be diagnosed at later stages, when treatment is more complex and outcomes are often worse.
Earlier this year, the death of actor James van Der Beek at age 48 brought more public attention to this trend.
One reason colorectal cancer can be harder to catch early in younger adults is that it doesn’t always cause symptoms, especially at first, according to the CDC.
When they do appear, symptoms such as blood in the stool, abdominal discomfort, or diarrhea can be easy to dismiss or attribute to diet, stress, or other common issues. Paying attention to changes in your body – and raising concerns with your doctor – can make a meaningful difference.
The encouraging news is that colorectal cancer is highly preventable. Many cases start as precancerous polyps that can be detected and removed during routine screening.
When cancer is caught early, treatment is typically less invasive and far more effective. That’s why national guidelines were lowered to age 45 earlier this decade by the U.S. Preventive Services Task Force.
This guidance reflects what we are seeing in real‑world data today. Some people, such as those with a family history of colorectal cancer, inflammatory bowel disease, or certain inherited conditions, may need to begin screening earlier and should discuss their risk with their doctor.
There are several screening options available, including colonoscopy and other approved tests. The best choice depends on individual risk and medical history, and a conversation with a doctor can help determine the right approach.
Many preventive screenings, including colorectal cancer screening, may be covered by your insurance at no cost. Coverage helps remove barriers – but taking the step to get screened is what truly matters.
If you are 45 or older, talk with your doctor about scheduling a screening.
Colorectal cancer is becoming more common in younger adults, but early detection works – and screening remains one of our most effective tools to protect long‑term health.
By Dr. Jeremy Wigginton is Chief Medical Officer at Capital Blue Cross.
