Signs You Have Colon Cancer
Rectal bleeding is not the sole sign of colon cancer. In fact, symptoms exhibited by patients may vary. Below are the most common signs of colon cancer:
- A constant change in bowel movement including diarrhea and constipation
- Change in stool consistency
- Feeling bloated
- Inability to pass gas
The presence of blood in the stool is interpreted as an alarming sign of colon cancer. However, that alone is not a conclusive proof of colon cancer. Doctors usually require further testing to clearly establish the cause of the bleeding.
On the other hand, experiencing abnormal bleeding accompanied with one or more of the symptoms above require urgent medical attention. Various tests are available in order to rule out colon cancer.
Which Cancer Treatments Can Affect Diabetes
Some cancer treatments can affect blood sugar levels. Ask your health care team about this risk for your specific cancer treatment plan and how to manage it.
Your health care team can also help you make a plan for monitoring and managing your blood sugar levels during cancer treatment. This may mean:
Checking your blood sugar level more often
Adjusting the dose of a current medication
Starting a new diabetes medication
Chemotherapy. Certain types of chemotherapy are associated with high blood sugar. They include 5-fluorouracil -based chemotherapy, asparaginase , busulfan , and platinum-based chemotherapy, such as cisplatin . Also if you already have nerve damage from diabetes, some chemotherapy drugs can make it worse.
Steroid medications. Steroids can cause high blood sugar by increasing insulin resistance. This means the body does not respond properly to insulin. Steroids are also called corticosteroids or glucocorticoids. Your doctor may prescribe steroids to treat side effects of cancer and its treatment, such as nausea and pain. Or, steroids may be part of the treatment for the cancer itself. Commonly used steroids include dexamethasone, hydrocortisone, prednisone, and methylprednisolone .
To help keep your blood sugar stable, you may get steroids in several smaller doses instead of 1 large dose. Or you may receive it over a longer period of time through an intravenous tube. You may also need more insulin or need to start using it while on steroids.
Subjects Materials And Methods
The Vorarlberg Health Monitoring and Promotion Programme is carried out in Vorarlberg, the westernmost province of Austria. It is routinely performed by the Agency of Social and Preventive Medicine and is offered annually to all Vorarlberg residents over 19 years of age. The screening examination takes place in the practices and includes a physical examination, a blood test and a consultation with a doctor. Enrolment is voluntary and costs are covered by the participants health insurance. The screening programme is well-publicised and widely accepted, and more than two-thirds of Vorarlberg residents aged 3554 years have participated in at least one examination since the programme began in 1985 .
Between 1988 and 2001, 155,820 adult Vorarlberg residents were enrolled in the VHM& PP Study Cohort after signing an informed consent to store and process personal data and biological samples. The current analysis was restricted to participants with complete data on blood glucose, height, weight and occupational group at baseline. Participants were also excluded if they had < 1 year of follow-up , or were diagnosed with cancer before or within 1 year following enrolment . Data pertaining to the first year of follow-up were not included in analyses.
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Liver Cancer And Cirrhosis Symptoms
Cirrhosis occurs over time when the liver tries to heal or protect itself from chronic inflammation and damage related to too much fat, too much alcohol or viruses like hepatitis B and hepatitis C. As the scar tissue replaces healthy tissue, the liver stops working properly.
Cirrhosis is life-threatening on its own. It can also lead to liver cancer. When a tumor starts to take over the liver, it crowds out healthy tissue and blocks the blood supply. As the tumor grows, it becomes harder and harder for the liver to work.
Liver cancer and cirrhosis take a long time to develop. As a result, the symptoms often do not appear until the disease is advanced.
If you have any of the following symptoms, talk to your doctor as soon as possible.
- Jaundice or yellowing, especially in your eyes
- Abdominal pain under the ribs on your right side
- Progressive swelling in the abdomen, often accompanied by swelling in the legs, feet or ankles. This is caused by excess fluid retention due to low protein production by the liver.
- Throwing up blood
It is important to be aware of changes in your body, and contact your doctor if you notice anything unusual.
Reduce your liver cancer risk
One of the most important things you can do to protect your liver and your general health is get an annual check-up to determine if you have metabolic syndrome.
“This is critical,” Kaseb says. “Routine blood tests and blood pressure screenings can alert you to a potentially deadly condition.”
Colon Cancer May Be Caused By Bacteria
More than 1.3 million North Americans have had colorectal cancer, a disease associated with lifestyle factors that encourage cancer-causing bacteria to thrive in your colon: eating lots of red and processed meats, sugar added foods, sugared drinks and fried foods not eating enough vegetables, fruits, nuts and whole grains not exercising smoking drinking alcohol
A new study shows that 992 people who were already diagnosed with colon cancer that had spread beyond the colon, who changed to a healthier diet and exercise program, had a 42 percent lower risk of dying over the next seven years compared to those who did not change their lifestyles . The changes corrected each of the lifestyle factors listed above, as recommended by the American Cancer Society Nutrition and Physical Activity Guidelines for Cancer Survivors.
These bacteria appear to increase colon cancer risk by suppressing a persons immunity that is supposed to kill cancer cells :7181). A diet rich in soluble fiber helps to reduce the growth of Fusobacterium in your colon :921-927). Lack of fruits and vegetables increases colon cancer risk by the following mechanism: You cannot absorb soluble fiber and resistant starch from plants in your upper intestinal tract, so they pass to your colon where specific bacteria ferment them to generate short chain fatty acids that help you to avoid overweight and dampen down inflammation, which helps to protect you from colon cancer and other cancers .
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Factors Associated With Hcc Recurrence
Of the 344 patients whose HCC was curatively treated by RFA, 232 had HCC recurrence. The 1-, 2-, and 3-year recurrence rates were 29.3%, 57.5%, and 75.2%, respectively. On univariate analysis, inadequate maintenance of blood glucose, higher initial level of serum AFP and multiple HCC nodules were significantly associated with HCC recurrence. Obesity and diabetes were not significantly associated with HCC recurrence.
Thirty-seven patients had diabetes with inadequate maintenance of blood glucose, 122 patients had diabetes with adequate maintenance of blood glucose, and 185 patients did not have diabetes. The HCC recurrence rate was significantly higher in diabetic patients with inadequate maintenance of blood glucose than in the others .
Kaplan-Meier curves showing a higher rate of hepatocellular carcinoma recurrence in diabetic patients with hyperglycemia. A: The cumulative incidence of the recurrence of hepatocellular carcinoma was significantly higher in diabetic patients with inadequate maintenance of blood glucose than in the others B: The HCC recurrence rate was significantly higher in diabetic patients with inadequate maintenance of blood glucose than in diabetic patients with adequate maintenance of blood glucose or non-diabetic patients . There was no significant difference in HCC recurrence rate between diabetic patients with adequate maintenance of blood glucose and non-diabetic patients.
Chronic Inflammation And Oxidative Stress
The metabolic abnormalities that characterize diabetes, especially under conditions of poor metabolic control, increase oxidative stress and cause a permanent pro-inflammatory condition. This chronic pro-inflammatory state reduces intracellular anti-oxidant capacity, predisposing susceptible cells to malignant transformation. In fact, high concentrations of diverse free radicals and oxidants generate a potent ROS that can damage cell DNA by direct oxidation or by interfering with the mechanisms of DNA repair . ROS may also react with proteins and lipids, forming derivative products that may alter intracellular homeostasis favoring the accumulation of mutations that, in turn, contribute to the multistage carcinogenesis process .
A possible additional mechanism is related to mitochondrial dysfunction, a well-recognized abnormality in diabetes. DNA repair is a high energy consuming process that requires increased mitochondrial activity: stimulating malfunctioning mitochondria will not only provide low, insufficient energy supply, but also increase ROS production .
Moreover, an additional factor correlated with insulin resistance is the pro-inflammatory cytokine tumor necrosis factor Î± produced by the adipose tissue . TNFÎ± induces development and progression of many tumors by strongly activating nuclear factor-kappa B , which mediates many of the pro-tumoral effects of TNFÎ±.
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Will My Diabetes Affect My Treatment
If you have diabetes, your multidisciplinary team of cancer specialists will consult with your diabetes care team to determine the most suitable course of treatment.
They will take into account how well controlled your diabetes is and the stage your liver cancer is at.
Treating diabetes in a patients who also have cancer is often complicated by the cancer, cancer therapies such as chemotherapy, and the adverse effects of these treatments.
In addition, cancer treatment can be delayed by the development of any short-term diabetes complications, such as severe hypoglycemia
The Liver Both Stores And Produces Sugar
The liver acts as the bodys glucose reservoir, and helps to keep your circulating blood sugar levels and other body fuels steady and constant. The liver both stores and manufactures glucose depending upon the bodys need. The need to store or release glucose is primarily signaled by the hormones insulin and glucagon.
During a meal, your liver will store sugar, or glucose, as glycogen for a later time when your body needs it. The high levels of insulin and suppressed levels of glucagon during a meal promote the storage of glucose as glycogen.
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Managing High Blood Sugar Levels:
What can I do to control my blood sugar levels?
- Take medication as prescribed. Be sure to talk with your healthcare providers and/or your pharmacist if you have any questions about your medication.
- Monitor your intake of carbohydrates. Carbohydrates are foods that break down to sugar in the body. Examples include bread, pasta, rice, fruit, milk, yogurt, potatoes and corn. Eat about the same amount of carbohydrate daily. Adult women may need 45 to 60 grams of carbohydrate per meal, and adult men may aim for 60 to 75 carbohydrate grams per meal
- Serving sizes of 1 carbohydrate serving are as follows:
1 small piece or ½ cup diced/canned
- Speak with a Registered Dietitian or a Certified Diabetes Educator about your specific carbohydrate intake recommendations.
- Stay as active as possible. Exercise is very helpful when it comes to controlling blood sugar levels. Even a 10 minute walk every day can help.
- Check your blood sugar levels regularly throughout the day.
How do I check my blood sugar?
Treatment Of Liver Disease With Diabetes
Diabetes can raise your risk of developing Liver disease that can lead to Cirrhosis, as well as an increased risk of liver cancer. There are preventative steps you can take to protect yourself such as limiting your alcohol consumption. Maintaining a healthy diet and exercise habits, and establishing an open line of communication with your doctor can pave the way for a healthy liver, especially if youre a Type 1 or Type 2 Diabetic. Your doctor will be able to give you helpful educational materials and information, as well as monitor you for any symptoms of these diseases. That can go a long way in maintaining and protecting the health of your liver. Because no medications have yet to be proven effective for treating fatty liver disease, there are no approved medical treatments for NAFLD or NASH. As a result, monitoring both of these diseases remains very lifestyle-oriented, meaning that its best to talk to your doctor now if you think you are at risk. This can not only give you peace-of-mind but also help you stay informed about your health status.
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Lectin Binding In Tissue Sections
Animals were deeply anesthetized with an intraperitoneal injection of Ketamine/xylazine 100mg/kg and 10mg/kg body weight, respectively, and were transcardially perfused with 4% paraformaldehyde in 0.1M PBS, pH 7.4. Tissue was cryoprotected in 30% sucrose in 0.1M TPO4 for at least 1 week, then embedded in O.T.C compound and cryosectioned into 20-m sections. Lectins and their nominal sugar specificities are listed in . Staining was performed at 4Â°C overnight to 100g/ml. Negative controls consisted of streptavidin alone and biotinylated lectins without fluorescent streptavidin. Fluorescent samples were analyzed under a confocal microscope .
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Diabetes And Liver Specialists In New Jersey
If you are a Diabetic and are worried about Liver Cancers and Diseases, our gastroenterology specialists at Digestive Healthcare Center can guide and educate you on a healthy lifestyle. At Digestive Healthcare Center, patients come first and we will help you address any health concerns you are having and set you up with one of our experienced physicians. We have three convenient locations around New Jersey, in Hillsborough, Somerville, and Warren. If you would like to learn more about our digestive healthcare services, contact us today and well be happy to answer any questions you may have.
Make an Appointment for Comprehensive Digestive Care in NJ
At Digestive Healthcare Center, we want each patient at our three offices in New Jersey to feel confident about their digestive health. We encourage you to contact us today to make an appointment with one of our expert gastroenterologists dont wait to start putting your digestive health first!
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Do Diabetes Treatments Raise Cancer Risk
There is evidence, but not definitive proof, that diabetes treatments affect cancer risk.
Metformin, the most commonly used diabetes drug, seems to lower cancer risk. But thereâs also evidence from some studies â contradicted by others â that insulin, particularly long-acting insulin glargine , may increase cancer risk.
Moreover, there are at least theoretical concerns that other relatively new diabetes drugs may affect cancer risk. Unfortunately, the panel found too little data to form an opinion on this question.
Because there is no definitive link between diabetes treatment and cancer, the panel strongly advises people with diabetes â except those at extremely high risk of cancer â not to make treatment decisions based on fear of cancer.
âClearly those being treated for diabetes need to be talking with their doctors about the importance of regular cancer screenings as recommended by the American Cancer Society,â Gapstur says.
The consensus panelâs report appears in the July/August issue of the ACS journal CA: A Cancer Journal for Clinicians.
The Liver And Glucose Metabolism
While those of us with diabetes tend to think about the pancreas as the most significant organ in glucose metabolism, the liver has an equally huge role to play in regulating your blood sugar. The liver can store sugar, release sugar, and even create sugar, and it works hand in hand with the pancreas in a tightly controlled system.
Most of the bodys metabolization of glucose , protein, and fat occurs in the liver. Glucose from dietary sources is shuttled to the liver, where it can feed into various metabolic pathways, depending on the specific physiological energy needs at the time.
Insulin acts to lower blood glucose by allowing sugar to enter cells. Glucagon signals for the breakdown of glycogen in order to raise blood glucose levels. Both of these hormones are produced in the pancreas in response to physiological conditions .
The liver releases stored glucose around the clock, to match the bodys needs. Similarly, insulin is released by the pancreas around the clock to match this output, and also in other scenarios, such as after eating, as well as times of illness or stress, when the rate of glucose release by the liver may be higher. These two hormones act to balance each other out and ensure that glucose levels in the bloodstream do not get too high or too low.
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Diabetes Strong Predictor Of Liver Disease
For their analysis, Dr. Alazawi and colleagues used electronic health records from 18,782,281 adults in Italy, the Netherlands, Spain, and the U.K.
Within these, they identified 136,703 people whose records said that they had received a diagnosis of NAFLD or NASH. They then matched each with 100 controls whose records contained no such diagnosis. The match was by sex, age, location of practice, and date of visit.
The analysis showed that people with a NAFLD or NASH diagnosis were more likely to have high blood pressure, obesity, and type 2 diabetes than their matched controls.
Over a median follow-up period of 3.3 years, the team noted which individuals developed liver cirrhosis and liver cancer.
The analysis revealed that compared with the controls, the risk of later receiving a diagnosis of cirrhosis was 4.73 times higher in those who had NAFLD or NASH. For a diagnosis of liver cancer, the risk was 3.51 times higher.
Also, it appears that the strongest independent predictor of a diagnosis of cirrhosis or liver cancer was having a diagnosis of type 2 diabetes at baseline.
The analysis also showed that people with NAFLD or NASH appeared to be receiving diagnoses of more severe, life-threatening liver conditions within a few years.
The researchers point out that this timescale does not reflect the much longer time that it takes for NAFLD or NASH to progress to advanced liver disease.