conditions colorectal-cancer

RECMG7794

Colorectal cancer

Condition:Colorectal cancer
Other:Colon cancer
ICD-10 Codes:C18

Naturopathic Treatments

Prevention
• increase fruits and vegetables
• increase dietary fibre
• regular exercise
folic acid
• avoid charred and BBQ meats
• moderate sunlight
• soy (in women)
• increase omege-3 (fish) and decrease omega 6 (corn, soybean, sunflower) oils

Note: Folic acid prevents colorectal cancer but it allows increases agressiveness of cancer once it develops.

Supplements
• fish oils & eicosapentaenoic acid (EPA)
vitamin D
melatonin
calcium
magnesium
lycopene
• probiotics (perioperative)
• modified citrus pectin (MCP)

Food
• olive oil
• oatmeal & avenanthramides
• honey
• flaxseed & lignins
• walnuts
• yogurt
• blueberries (Vaccinium spp.) & anthocyanins
• red wine & resveratrol
• apples & polyphenols
• pomegranate (Punica granatum) juice & ellagitannins
• green tea (Camellia sinensis) & ECGC

Herbs
turmeric (Curcuma longa) & curcumin
Asian ginseng (Panax ginseng) & ginsenoside
rosemary (Rosmarinus officinalis)
schisandra (Schizandra chinensis)
milk thistle (Silybum marianum) & silymarin /silibinin
licorice (Glycyrrhiza glabra)
ginger (Zingiber officinale) & gingerol

Medicinal muchrooms
• reishi (Ganoderma lucidum)
• turkey tail "Yun Zhi" (Coriolus versicolor)
• meshimakobu (Phellinus linteus)
• shiitake (Lentinula edodes)
• maitake (Grifola frondosa)

Other
vitamin C (intravenous)
mistle toe (Viscum album) extracts & Iscador (subcutaneous injections)

Conventional Treatments

Treatment
• surgery
• chemotherapy agents (fluorouracil, capecitabine, UFT, leucovorin, irinotecan, oxaliplatin)
• radiation

Prevention
• aspirin
• celecoxib

Signs & Symptoms

In patients over 50 years of age:
• rectal bleeding
• anemia
• progressive constipation
• loss of appetite
• nausea or vomiting
weight loss
fever

DDx

• inflammatory bowel disease
- Crohn's disease
- ulcerative colitis
• infectious colitis
diverticulosis
• diverticulitis
anal fissures
hemorrhoids
• Infectious diarrhea
• colonic polyps
iron deficient anemia

Pathogenesis

Types of cancer
• adenocarcinoma (95% of cases)
• lymphoma
• squamous cell carcinoma

Risk factors
• over 50
• men
obesity
• high fat diet
• red meat intake
• alcohol (>1 drink per day)
• smoking
• lack of physical exercise
• inflammatory bowel disease (ulcerative colitis and Crohn's disease)
• familial adenomatous polyposis (polyps)

Diagnostics

• sigmoidoscopy
• colonoscopy
• tumor biopsy
• imaging test (PET and MRI)

References

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