[HN Gopher] Why Is Colorectal Cancer Rising Rapidly Among Young ...
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       Why Is Colorectal Cancer Rising Rapidly Among Young Adults?
        
       Author : paulpauper
       Score  : 77 points
       Date   : 2023-02-07 19:57 UTC (3 hours ago)
        
 (HTM) web link (www.cancer.gov)
 (TXT) w3m dump (www.cancer.gov)
        
       | anthk wrote:
       | Lots of food from the US it's banned in the European Union with a
       | good reason.
        
         | jandrewrogers wrote:
         | Lots of food from the EU is banned in the US for safety
         | reasons.
        
           | conductr wrote:
           | Generally US is concerned with lack of preservatives and EU
           | is concerned with use of fake preservatives
        
       | tohnjitor wrote:
       | Could anal sex be linked to this?
        
         | HPVadvisory wrote:
         | actually all sex. skin to skin contact, oral sex, penetrative
         | sex, they are all ways HPV can lead to prostate cancer, anal
         | cancer, ovarian cancer, and throat cancer. from any given point
         | of entry.
        
         | rawicki wrote:
         | That's more likely anal than colon cancer.
         | 
         | If you are bottoming a lot you can consider screening for that
         | every 1-3 years.
        
       | 60secs wrote:
       | Not eating enough beans
        
         | voisin wrote:
         | Not sure why you are being downvoted. I think fibre intake is
         | absolutely correlated to colorectal cancer.
        
           | wavy-dingo wrote:
           | Inversely correlated? As in, more beans is less cancer?
        
         | HPVadvisory wrote:
         | beans dont prevent HPV, the leading cofactor of anal cancer.
        
       | marl0 wrote:
       | Start with rinsing your dishes and try not to eat out.
       | 
       | https://www.jacionline.org/article/S0091-6749(22)01477-4/ful...
       | 
       | Detergents, preservatives, pesticides and low quality ingredients
       | are all great examples of things you can cut out eating at home.
       | While we don't seem to have enough data to point to each one of
       | them individually, it seems pretty common sense these are the new
       | contributing factors in our environment.
        
         | m0llusk wrote:
         | Lectins, specifically gluten, are strongly associated with IBS.
         | Many people have found relief from IBS by reducing or
         | eliminating lectins in their diet, especially gluten. It is
         | worth pointing out that wheat is an extremely common ingredient
         | nowadays, but most of the wheat we grow and eat is no longer
         | the traditional emmer or einkorn but a dwarf hybrid that among
         | other differences produces extreme amounts of gluten.
        
           | adrian_b wrote:
           | What you say is true, but the hybrid wheat rich in gluten has
           | already existed for a few millennia and during all this time
           | it has been the main staple food for hundreds of millions or
           | even for billions of people, who have suffered no undesirable
           | consequences from it.
           | 
           | Nowadays it seems that there are more and more people that
           | are affected negatively by gluten consumption. Because this
           | was much less frequent in the past, there must be an
           | additional unidentified factor that causes gluten sensitivity
           | and which has not existed formerly.
        
             | genocidicbunny wrote:
             | > who have suffered no undesirable consequences from it.
             | 
             | Is that really the case? I suspect it was more that people
             | who had IBS or gluten sensitivity in the past just...died.
             | If there was no understanding of the problem, then those
             | suffering from it probably appeared to have something like
             | dysentery, and would like just be lumped in with everyone
             | else that had similar symptoms from various causes.
        
           | jakewins wrote:
           | This seems exactly inversed?
           | 
           | Emmer contains twice as much gluten as modern wheat according
           | to this summary paper of chemical composition, see table 3:
           | https://www.researchgate.net/profile/Anna-
           | Zaparenko/publicat...
        
             | adrian_b wrote:
             | While most emmer varieties have indeed more gluten than the
             | hexaploid wheat, the varieties described in the article
             | quoted by you have, as written in the article, between 30%
             | and 40% more gluten.
             | 
             | Nowhere in this article an emmer with twice more gluten is
             | mentioned.
        
           | hinkley wrote:
           | GF support groups are full of tales from people who were able
           | to eat wheat in Europe but not NA.
           | 
           | What they don't tell you about wheat very often is that
           | people figured out that if you defoliate a wheat plant, it
           | will shove its remaining calories into the developing seeds
           | and then die. You can control the maturity of a wheat field
           | by spraying it with RoundUp late in the season.
           | 
           | So where the reality versus PR for the decay rate of RoundUp
           | in the environment leaves a very long safety margin with
           | early season and pre-emergent uses of the stuff, whatever you
           | sprayed a matter of weeks before harvest very much matters on
           | variance between fields and between customer and
           | manufacturer.
           | 
           | We may be feeding ourselves RoundUp here.
        
             | UncleOxidant wrote:
             | Yes, we know that RoundUp has a negative effect on gut
             | bacteria.
        
         | jakewins wrote:
         | Isn't that article contradicting your point? They weren't able
         | to find any effect for dish detergent, and the effect they did
         | find for rinse aids was not present at the concentrations used
         | in residential dishwashers?
        
           | cameldrv wrote:
           | I just checked, and my detergent (Finish Quantum) has alcohol
           | ethoxylates in it. I wonder if with newer high efficiency
           | dishwashers that use less water, this stuff isn't getting
           | rinsed off as well.
        
         | more_corn wrote:
         | Wait we're supposed to avoid soap now? Wtf
        
           | ZyanWu wrote:
           | We're supposed to avoid eating it
        
             | brookst wrote:
             | NOW you tell me?
        
         | Alex3917 wrote:
         | Of course a lot of the hottest new experimental cancer
         | therapies are also pesticides, e.g. artemisinins and
         | annonaceous acetogenins.
        
         | HPVadvisory wrote:
         | rinsing dishes of excess rinse aid/soap does not prevent HPV,
         | the leading cofactor of anal cancer.
        
         | j-bos wrote:
         | I understand it's not best practice to ask, but could those who
         | downvoted this comment reply with their reasons why?
        
           | [deleted]
        
           | Retric wrote:
           | The linked post doesn't support their conclusion.
           | 
           |  _This rapid increase is especially puzzling because the rate
           | of colorectal cancer has plummeted among older adults--
           | largely due to regular colonoscopies and lower rates of
           | smoking.
           | 
           | "We don't understand a lot about the causes, the biology, or
           | how to prevent early onset of the disease," said Phil
           | Daschner, a program director in NCI's Division of Cancer
           | Biology. "And that's important to learn more about because it
           | may affect [approaches for] the treatment and survivorship of
           | early-onset colon cancer."_
        
           | kelnos wrote:
           | Because the linked research does not support the point the
           | poster is making. The researchers did _not_ find a link with
           | dishwasher detergents. They found a link with rinse aids, but
           | at quantities and concentrations far higher than you 'd find
           | in a dishwasher.
           | 
           | Also, I think we should all be skeptical of someone who says,
           | essentially, "Don't want colorectal cancer? Rinse your dishes
           | and don't eat at restaurants!" Such a simple explanation for
           | colorectal cancer seems suspicious... at best.
        
         | RobertRoberts wrote:
         | This comment is on track, and it's amazing that it's gotten a
         | single down-vote.
         | 
         | Though I would de-prioritize "rinse your dishes" and say the
         | food we eat is more of the issue.
         | 
         | Is there some logical reason you would down vote without any
         | explanation or counter argument?
        
           | Supermancho wrote:
           | The cited paper is not sufficient to explain the dramatic
           | rise. It would have been seen much earlier (since the 50s)
           | that the trend was obvious. Putting forth "just do X" is a
           | low effort post. It has a paper, which is something, but it's
           | far from definitive, although it's phrased as such.
           | 
           | I'm sure someone thought the same as me, but they thought
           | clicking the down button was the correct response. I don't
           | agree, but I understand that not everyone is put together
           | before the coffee kicks in.
           | 
           | I have had 2 quarter-coin sized growths removed from my
           | colon. The underlying cause is undiagnosed. They were not
           | cancerous, by analysis. I believe the growths started in
           | Washington State 6ish years ago and black mold was a
           | contributor, with other factors. Growths have not returned.
        
             | Animatronio wrote:
             | Black mold contributing to colon growths? Now that's
             | something I'd like to read more about! Do you have a link
             | to a study?
        
             | HPVadvisory wrote:
             | Were you tested for HPV?
        
       | HPVadvisory wrote:
       | Before you start mentioning detergents, look at something that
       | actually modifies the mitosis of cells: viruses.
       | 
       | With the sexual revolution and online dating apps, there has been
       | a sharp rise in the spread and strains of HPV.
       | 
       | From their own website: HPV is the most common cofactor for anal
       | cancer in general: https://www.cancer.org/cancer/anal-
       | cancer/causes-risks-preve...
       | 
       | Because the test for HPV only commonly exists for women, and not
       | men, many women fail to disclose that they have an ongoing
       | infection because of the gender imbalance. Obviously both men and
       | women are spreading it though.
        
         | arcturus17 wrote:
         | I read in an Atlantic piece that there was a "sex recession"
         | [1] - many sociological studies show that people are having
         | less sex than decades prior. It's counter-intuitive, but the
         | data in the article meets my anecdotal observation (and I don't
         | even live in the US). Assuming both articles are somewhat
         | accurate the correlation would pull in opposite directions.
         | 
         | [1] Why Are Young People Having Less Sex (The Atlantic,
         | December 2018,
         | https://www.theatlantic.com/magazine/archive/2018/12/the-
         | sex...)
        
           | HPVadvisory wrote:
           | It may "pull" in the opposite direction but the spread of HPV
           | is actually on the rise and we have a cancer epidemic for
           | young people: throat cancer and anal cancer in particular.
           | Prostate and ovarian cancer seem to still mostly hit people
           | in their 50s and beyond (also most often related to HPV).
           | 
           | https://www.cedars-sinai.org/discoveries/an-epidemic-
           | ignites....
        
         | rawicki wrote:
         | Both men and women can be vaccinated against HPV, but that's
         | still not popular enough.
        
         | HPVadvisory wrote:
         | Infection by the human papillomavirus (HPV) is the most
         | important risk factor for anal cancer. Most squamous cell anal
         | cancers are linked to infection with HPV. HPV is a group of
         | more than 150 related viruses, the same group of viruses that
         | causes cervical cancer, as well as other kinds of cancer. In
         | fact, women with a history of cervical cancer (or pre-cancer)
         | have an increased risk of anal cancer.
         | 
         | Kind of wild that the linked article fails to mention STIs and
         | HPV.
        
         | jeffbee wrote:
         | Didn't HPV vaccines cut HPV prevalence by an order of
         | magnitude, at this point in everyone under 30 years old?
        
       | Gnarl wrote:
       | Subtle hint: thing in back pocket emits physical agent known to
       | cause oxidative-stress leading to inflammation & dna damage.
       | Colon tissue cell division rapid = more sensitive to said dna
       | damage.
       | 
       | More: https://pubmed.ncbi.nlm.nih.gov/26151230/
        
         | alar44 wrote:
         | The radio waves emitted by your phone are orders of magnitude
         | lower than all the other background radiation you're basking
         | in. This is a tech forum.
        
         | knodi123 wrote:
         | If the phone in your pocket is troubling, think about how many
         | radio stations your car radio can receive- every one of those
         | signals is blasting through your body, most of the time! And we
         | swim in a sea of wireless router signals, as well.
         | 
         | The issues are wattage and whether the radiation is ionizing or
         | not. I think, so far, every reputable study has shown that cell
         | phones, radio towers, and wifi routers are utterly harmless to
         | the people that use them as intended.
        
         | HPVadvisory wrote:
         | cell phones dont spread HPV, the leading cofactor for anal
         | cancer.
        
         | jemmyw wrote:
         | is the thing in your back pocket a banana?
        
       | msie wrote:
       | Alcohol?
        
         | arcturus17 wrote:
         | I have worked for one of the world's most important alcohol
         | distributors, and have been in contact with high execs in the
         | org. They are concerned that young people are not drinking as
         | much as before, not the other way around.
        
       | ydnaclementine wrote:
       | Alright, let's say I know a friend who could be concerned. What
       | is the proper term in Zocdoc to find the right kind of doctor to
       | get this checked?
        
         | mbrd wrote:
         | I'd start with gastroenterologists. I've started having some GI
         | issues recently so I've been seeing one, but there was a 4+
         | week wait time to see anyone in my area.
        
       | tracker1 wrote:
       | I'm guessing fake foods overloaded with preservatives... much
       | like with increased oxidative stress in general.
       | 
       | edit:
       | 
       | noting: "There's mounting evidence linking an unhealthy diet--in
       | particular, one high in processed meat and fat, and low in fruits
       | and vegetables--to early-onset colorectal cancer."
       | 
       | Sounds like it's the meat/fat/cholesterol myth 2.0 ... Not that
       | I'm massively in favor of overly processed meat... but the body
       | needs fat... we're still suffering from the hormone production
       | issues a half century of disinformation on dietary fat has lead
       | to... and the heart disease over a century of processed fats in
       | unnatural ratios has lead to.
       | 
       | Fruits and Vegetables are not naturally available year-round,
       | anywhere. If you want to choose to be vegetarian, cool... but to
       | assume it's meat (part what makes us human for many millenia) and
       | not the processed "foods" that didn't even exist 150 years ago is
       | just absurd.
        
       | Centigonal wrote:
       | IBD (including ulcerative colitis, which increases the risk of
       | colorectal cancer dramatically) is also increasing in
       | developed/westernized countries.[1]
       | 
       | It's unclear how much of this is is due to changes in diet,
       | hygiene hypothesis, or environmental pollutants/endocrine
       | disruptors.
       | 
       | I wish we understood this better.
       | 
       | [1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020403/
        
         | popotamonga wrote:
         | I have UC my doctor told me it just slightly increases the
         | chance whereas some years ago they thought it increased a lot.
         | Is she lying to me or what
        
         | quartz wrote:
         | My family has personally experienced this and it is terrifying
         | to learn how little information and how few resources there are
         | for young children with IBD.
         | 
         | Right out of the gate you hit the issue that there simply
         | aren't many "very early onset IBD" (impacting children under 6
         | years old) specialists because historically there were so few
         | cases. We've seen well regarded IBD specialists who reflexively
         | try to order tests and procedures that their own hospital will
         | then refuse to even perform because they can't be done safely
         | on young children. The IBD specialists are in general simply
         | unfamiliar with young children because of the historical
         | rarity.
         | 
         | From the VEO IBD specialists we have worked with they all
         | report that the numbers are exploding and no one has any real
         | idea why.
         | 
         | On top of that most of the more modern and effective treatments
         | for IBD and Crohns aren't approved for young children at all
         | and even top tier insurance will fight tooth and nail against
         | covering them because their use in children can be considered
         | off-label.
        
       | tylershuster wrote:
       | Anal sex
        
         | HPVadvisory wrote:
         | spreading HPV.
        
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       (page generated 2023-02-07 23:01 UTC)