MB BCh · FRCS — Consultant General, Colorectal & Gastrointestinal Surgeon

Nuffield Health · The Vale & Cardiff Bay

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Colorectal disease

Understanding colorectal disease the symptoms, causes and how it is treated.

OVERVIEW

What is colorectal disease?

Colorectal disease is a broad term covering conditions that affect the colon and rectum, ranging from relatively minor and common problems such as small bowel polyps and diverticular disease, through to more serious conditions including inflammatory bowel disease and bowel cancer. Because so many different conditions fall under this heading, symptoms can vary considerably from one patient to another, and some conditions, particularly in their early stages, may cause very few noticeable signs at all. This is why persistent changes in bowel habit, unexplained rectal bleeding, ongoing abdominal pain or unexpected weight loss should always be properly investigated rather than dismissed, regardless of age. Early and accurate diagnosis, usually through colonoscopy or imaging, allows the right treatment pathway to be identified quickly, and for many colorectal conditions, earlier detection significantly improves the range of options available.

Symptoms to look out for

Causes & risk factors

TREATMENT OPTIONS

How colorectal disease can be treated

01

Investigation & Diagnosis

Colonoscopy and imaging identify the exact cause of symptoms.

02

Medical Management

Many conditions are managed with medication and dietary changes.

03

Surgical Treatment

Surgery may be recommended for polyps, diverticular disease or bowel cancer.

When should you seek advice?

Persistent bowel changes or bleeding should never be ignored. Mr Woodward offers assessment within 48 hours.

Common questions about colorectal disease

Is a change in bowel habit always serious?

Not always, but any change lasting more than a few weeks should be checked, as early diagnosis makes treatment more effective.

A colonoscopy allows direct examination of the bowel lining, identifying polyps, inflammation or other abnormalities.

Some colorectal conditions, including certain cancers, can run in families, so a family history is an important part of assessment.