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HomeMemberHelpful ToolsHealth ResourcesColorectal Cancer

Colorectal Cancer

Colorectal cancer occurs when a polyp (growth) in the inner lining of the colon (large intestine) or rectum becomes abnormal and develops into cancer. Early detection and removal of colorectal polyps can decrease the risk of developing cancer. Remember, regular preventive screenings can help detect cancer at its earliest stages, giving patients the best chance for successful treatment.

When should you get screened?

Most individuals should get screened for colorectal cancer regularly, starting at age 45. Your provider may recommend that you get tested earlier than 45, or more often, if you have any of these risk factors:

    • Inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis
    • A personal or family history of colorectal cancer
    • Certain genetic conditions, such as Familial Adenomatous Polyposis
    • Lifestyle factors, such as:
      • Lack of exercise
      • Diets low in fruits, vegetables, and fiber
      • Diets high in fat
      • Obesity (overweight)
      • Alcohol consumption
      • Smoking


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What are the symptoms of colorectal cancer?

There are often no signs of colorectal cancer at first. If you have symptoms, they may include:

    • A change in bowel habits
    • Blood in your bowel movements
    • Diarrhea and/or constipation
    • Pain, aches, or cramps in the abdominal area
    • Unintentional weight loss

What tests are used to screen for colorectal cancer?

Tests are used to screen for different types of cancer when a person does not have symptoms. 
Your PCP may suggest one of the following tests:
Fecal occult blood test

Checks for hidden blood in stool. 

Sigmoidoscopy

Looks at the lower part of your colon or large intestine.

Colonoscopy

Looks at the inside of the large bowel (colon).

Virtual colonoscopy

Uses special X-rays to look at the colon.

DNA stool test
Uses a stool sample to look for signs of colorectal cancer.

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Additional information about colorectal health is available.

Did you know?

Fidelis Care members don't need a referral for a screening. Check with your imaging center for scheduling guidelines. Fidelis Care recommends keeping your PCP informed about your care. If you need help scheduling your screening, Fidelis Care members can call Fidelis Care at 1-888-FIDELIS
(1-888-343-3547); TTY: 711