Irrua:Dr. Clement Odion, a Consultant General Surgeon at Irrua Specialist Teaching Hospital, has emphasized the need for Nigerians to seek medical advice upon detecting warning signs of colorectal cancer.
According to News Agency of Nigeria, Dr. Odion highlighted that risk factors for colorectal cancer include diets rich in processed and red meat, insufficient intake of fruits and vegetables, physical inactivity, overweight, obesity, tobacco use, and alcohol consumption. Family history and genetics, previous cases of colorectal cancer, or certain types of polyps also increase the risk, particularly after the age of 50.
Dr. Odion pointed out that warning signs of colorectal cancer may involve changes in bowel habits, blood in stool, persistent abdominal cramps, pain or bloating, unexplained weight loss, and ongoing fatigue. He advises Nigerians over the age of 45 to consult healthcare professionals even in the absence of symptoms.
Screening methods such as colonoscopy and stool-based tests, including the Faecal immunochemical test (FIT) and Faecal occult blood test (FOBT), are effective in early detection. Dr. Odion explained that colonoscopies are the gold standard, recommended every 10 years, while stool-based tests should be conducted annually.
Preliminary findings from an ongoing hospital survey reveal that screening costs deter 47 percent of respondents, with 27 percent fearing the results and 13 percent concerned about pain or discomfort. Additionally, 12 percent of respondents are unaware of where to obtain screening.
Dr. Odion also mentioned barriers such as lack of awareness, the absence of a national screening program, and limited availability of screening facilities and specialists. Although Nigeria has initiated efforts to enhance early detection and treatment of colorectal cancer, Dr. Odion believes these are insufficient to significantly reduce mortality rates.
He mentioned the NICE-SCAN initiative, a government program targeting five cancers including colorectal cancer, and the Cancer Health Fund, which currently supports breast, prostate, and cervical cancers. Dr. Odion advocated for a national screening program, expanded diagnostic capabilities, reduced costs, increased public awareness, and stronger primary healthcare services. He also called for improved treatment infrastructure, enhanced data collection through a National Cancer Registry, and community engagement involving NGOs and faith-based organizations.