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Say ni Dok | Tips para mapanatiling healthy ang iyong colon
PTVPhilippines
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1 year ago
Say ni Dok | Tips para mapanatiling healthy ang iyong colon
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00:00
Let's talk about the proper care for our colon to avoid diseases such as cancer.
00:07
We will interview the Philippine and American Board Certified Gastroenterologist.
00:14
What is colon cancer? Let's find out this morning. Good morning.
00:21
Good morning. I am Dr. Jun Ruiz.
00:25
I would like to thank you for inviting me to Rise and Shine Philippines to discuss colon cancer.
00:33
Thank you very much.
00:34
Good morning.
00:35
Jun, we would like to know, because we understand there is what we call colon cancer.
00:40
What is it and how does it differ from what we call colorectal cancer?
00:45
Because they are quite similar.
00:48
For our viewers to understand, the colon is what we call large intestine or big intestine.
01:00
The rectum is the last portion of our digestive tract, the system for digestion.
01:10
So when we say colorectal, it means the colon, the big intestine, and the last part of our digestive tract, the rectum,
01:23
before it goes down to the pit of the intestine, which is the anus.
01:27
When we say colon, it is just the colon, but for discussion purposes,
01:33
when we say colorectal and colon, it is interchangeable for the patients so that it is easier to understand.
01:43
Dr. Jun, what are the common causes of colon cancer? Is it related to our lifestyle?
01:53
That is true.
01:55
Colon cancer is a combination of its causes from genetics,
02:02
which we inherited from our parents, and at the same time from our lifestyle, environmental.
02:08
So it is not just genetics, it is not just environmental,
02:12
but it is a combination that determines if a person will have colon cancer.
02:19
Colon cancer starts with the so-called polyps.
02:25
Okay. Well, in all aspects, when it comes to our appearance,
02:31
we can see some symptoms. What should we monitor?
02:35
How can we know if we need to have a check-up?
02:41
Okay. When it comes to colon cancer, if the colon cancer is still early,
02:47
there may be no symptoms.
02:49
So a patient may feel okay, but the colon cancer is already starting.
02:56
When there are symptoms, what we monitor first is rectal bleeding.
03:03
When you vomit, you see blood. That is one symptom of colorectal cancer.
03:09
Number two, the style of our vomiting changes.
03:14
We call that a change in bowel habits.
03:17
Let's say we go to the bathroom every day to vomit.
03:21
Then suddenly, just once a week.
03:25
We call that a change in bowel movements.
03:29
Other symptoms, like a pain in the stomach, can be symptoms of colon cancer.
03:36
Then we lose weight, but we don't lose weight.
03:42
We call that unintentional weight loss.
03:46
If we go for a blood test, we become anemic.
03:50
It's not just that we don't feel well,
03:53
it can also be that you have a blockage in your intestine.
04:01
That can be colon cancer.
04:03
There are many symptoms, but the important thing is,
04:06
if there are no symptoms, colon cancer can still be early.
04:10
Doc, I want to know,
04:12
because colon cleansing is also popular in wellness centers.
04:18
I've heard a lot about it.
04:21
What can you tell us about how effective it is to prevent colon cancer?
04:27
That's a good question.
04:29
Actually, we don't recommend colon cleansing.
04:33
In a way, when we do colon cleansing,
04:36
we want to get rid of the dirt.
04:39
Supposedly, the toxins will come out.
04:42
But we can do it in a healthy lifestyle,
04:47
where we don't have to spend money.
04:49
At the same time, colon cleansing can cause complications.
05:02
The intestine can be pierced.
05:04
So we don't recommend colon cleansing.
05:10
There is a better and more natural way to clean your colon.
05:16
That's a good insight.
05:18
Doc, additional to this,
05:21
how can we prevent colon cancer in a natural way?
05:28
Are there simple steps?
05:30
What should we do?
05:33
The best thing to talk about is,
05:36
who has colon cancer?
05:39
What are the risk factors for colon cancer?
05:42
We divide it based on non-modifiable risk factors and modifiable risk factors.
05:50
If we say non-modifiable,
05:52
you won't be able to change that factor.
05:54
Here are some examples.
05:56
Number one, age.
05:57
When you reach 50 years old,
06:00
when you're a golden boy or a golden girl,
06:02
the risk for colon cancer increases.
06:04
Especially now,
06:07
colon cancer occurs before 50 years old.
06:11
But 90% of patients with colon cancer are 50 years old and above.
06:16
Number two, family history of colon cancer.
06:20
If your mother, father, or sibling has colon cancer,
06:28
you are double the risk to have colon cancer.
06:33
Number three, if you have colon cancer or polyps,
06:37
you are high risk to have colon cancer in the future.
06:41
These are the non-modifiable risk factors.
06:44
Let's go to the modifiable risk factors.
06:46
These are lifestyle-related.
06:48
Number one, what are the risk factors?
06:51
First, smoking can increase your risk for colon cancer.
06:56
Number two, alcohol abuse could also increase your risk for colon cancer.
07:02
Number three, not enough food.
07:08
We are fond of processed foods, fatty foods,
07:12
and foods that don't have much fiber.
07:16
That could also increase your risk for colon cancer.
07:20
Those who don't exercise.
07:22
If we're obese,
07:27
and we don't exercise with a sedentary lifestyle,
07:32
these are all risk factors for colon cancer.
07:35
Based on our discussion,
07:37
we can reduce the risk of colon cancer for ourselves
07:42
if we have a healthy lifestyle.
07:45
Lastly, what is the importance of regular screening?
07:50
When should we start getting it checked?
07:54
Thank you very much for that question.
07:56
The guidelines here in the Philippines
08:00
require screening at the age of 50 years old.
08:04
Whether you have symptoms or not.
08:06
Remember, we said that if you have early colon cancer,
08:09
you may not have symptoms.
08:11
At the age of 50, we will start screening.
08:15
There are two methods for screening.
08:20
The simplest test is a stool test.
08:23
We call it FIT,
08:26
which stands for Fecal Immunochemical Test.
08:29
We are looking for blood,
08:32
which is microscopic,
08:34
not visible to the eye,
08:36
in our stool.
08:38
Colon cancer can bleed,
08:40
which we cannot see.
08:42
That's the first test.
08:44
The second test is a colonoscopy,
08:46
which is a test where we use an instrument,
08:50
a flexible tube,
08:52
to examine the entire colon,
08:56
but the patient is sleeping.
08:58
That's why it's comfortable for a colonoscopy.
09:01
These are the two methods to screen our patients
09:06
starting at the age of 50.
09:08
Thank you very much, Dr. Jun,
09:10
for the tips and information you shared with us.
09:13
It's important to know about colon cancer,
09:16
how to avoid it,
09:18
and of course, we should have a healthy lifestyle.
09:21
Yes.
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