Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

Is "colorectal cancer" rising in "young people"?

dynomight.net

Post reply on HN
Print view View original

211–220 of 250 posts

Re: Is "colorectal cancer" rising in "young people"?

#211

Post by timr »

atombender wrote: post #156
hdb2 wrote: post #134

I've often wondered if colorectal cancer is really on the rise in young people, or are we testing more younger people, which makes it seem like it's on the rise? Hopefully my question makes sense...

That's covered in the article. Deaths are also rising, which suggests it's not just more testing.

No, this isn’t true, and the article makes the same fundamental mistake.

While certainly deaths are a more reliable indicator than diagnoses, you always expect to see an increase in “deaths from X” when you more aggressively screen for X. The intervention of cancer treatment comes with serious risks, and screening sometimes finds cancers that would otherwise never be a problem.

We’re talking about very subtle differences in population-level trends, so these kinds of errors matter.

Re: Is "colorectal cancer" rising in "young people"?

#212

Post by boppo1 »

m3047 wrote: post #184
ramesh31 wrote: post #97

Earlier quoted context omitted.

>"Risks? The risks of a colonoscopy are crazy low though." Not at the statistical level. Death rate from complications is about 1 in 10,000: https://www.endoscopy-campus.com/ec-news/risk-of-death-from-...

This is funny. I've had an unbelievable string of bad doctors / clinics... almost as though something is wrong with medical care around here. Couple of years ago the latest doctor who I fired started talking colonoscopies. I asked some basic questions like how do they get paid? How much do they get paid? Who inspects their facilities? He took great umbrage at the notion that the doctors were getting "bounties" for ni…

What an interesting and obvious approach, wish I'd thought of it. Tell me more about your inquiry for the answers the doctor avoided.

Re: Is "colorectal cancer" rising in "young people"?

#213

Post by nomemory »

roer wrote: post #113
nomemory wrote: post #57

Seeing young adults around me going through this made me change my dietary habits 1 year ago. I went to the extreme by modern food industry standards, but now: - I take 100g proteins, 30g fibers daily - Red meat once a week but never fried - Most of the protein comes from eggs, yoggurt, chicken and various plant based sources - No white bread - No added sugars, no deserts except fruits - Nothing fried - No added salt…

How do you get enough calories while avoiding fats? What do you usually eat in a day?

I don't avoid fats, just saturated fats.

Kefir, eggs, chicken breast, potatoes, beans, rice, oats, fruits, vegetables, a little olive oil, low fat cheese and raw seeds (pumpkin) or raw nuts.

To be honest making the calories today is easier than not making your calories. Go to any supermaket you have caloric bombs everywhere and in everything.

Re: Is "colorectal cancer" rising in "young people"?

#214

Post by Double_a_92 »

TrackerFF wrote: post #8

Had my first colonoscopy 4 months ago, after going for a couple of years with every red flag symptom under the sun. The procedure was a piece of cake. As the standard is where I'm from (Norway), I was only administered some sedatives - but honestly I couldn't feel much difference. I watched the procedure on the screen, which was quite fascinating. The worst part, by far, was the emptying / prepping. A month prior to…

Can also confirm that the worst part was the prepping. You have to dring 2 liters of liquid that give you diarrea... The second liter is the worst, since the body learns that it's "poison" and triggers all the reflexes to make you not swallow it.

Re: Is "colorectal cancer" rising in "young people"?

#215

Post by Double_a_92 »

antinomicus wrote: post #68
panarky wrote: post #42

Earlier quoted context omitted.

My doctor recommended a combination FIT+DNA test instead of colonoscopy (brand name "Cologuard"). She said it's not quite as good as the "gold standard" colonoscopy, but it also doesn't have the risks of colonoscopy. And the FIT+DNA test is so cheap and easy, you can do it every year or three instead of every 10 years with the colonoscopy. She still recommends colonoscopies for high-risk patients, but she thinks the…

Risks? The risks of a colonoscopy are crazy low though.

I remember reading somewhere that the highest risk is you falling off the table while you are sedated.

Re: Is "colorectal cancer" rising in "young people"?

#216

Post by pazimzadeh »

bonsai_spool wrote: post #208
pazimzadeh wrote: post #206

Earlier quoted context omitted.

I think he's arguing that guidelines are dumb/outdated

I think the guidelines are fine - we can't stop everyone's disease and that's not what the purpose of these screening tests are.

that's because you don't have stage 4 cancer

Re: Is "colorectal cancer" rising in "young people"?

#217

Post by wolfi1 »

dgacmu wrote: post #191
wolfi1 wrote: post #61

Earlier quoted context omitted.

I did one two years ago without sedation, I wanted to work afterwards. I didn't feel any pain, so sedation is really not necessary

I woke in the middle of my first one due to inadequate sedation and it felt like someone was pushing their fist into my stomach too hard and/or having cramps. Tolerable but unpleasant. I elected for propofol on my second and was happier (though both midazolam/fentanyl and propofol basically make you kinda useless for the rest of the day).

my guess is that they take more care when they know you are not sedated. I know a guy whose intestines have been perforated during a colonoscopy if he wouldn't have been sedated he would have felt the perforation right away

Re: Is "colorectal cancer" rising in "young people"?

#218

Post by imtringued »

dsign wrote: post #39

Human biology is such a horror...I've been through it with enough loved ones that I've been left with two obsessions: a) a dignified way to go when my time comes, and b) we should either fix human biology, go post-biological, or simply surrender as a species and be replaced by AI. I know there are many counter-arguments to the above, but I've come to suspect the integrity of our species' rationality under the savage…

Nonsense. Human biology is incredible. 80 years average life span for a mammal is amazing to the point that it should be impossible.

The real problem is that as lifespans get longer, silent chronic diseases progress over the span of decades without anyone noticing.

I mean look at human teeth. Horses have extra long teeth that emerge slowly out of the jaw over time as they get worn down. Their teeth are absolutely massive and yet their average dental lifespan is 20 years, up to 25 years if they are lucky and have been fed low abrasive food. Same with cows, after 20 years they have worn their teeth down and are called gummers.

Meanwhile humans who brush their teeth with fluoride and hydroxyapatite, and use interdental brushes of the correct size for each tooth gap, can basically keep their teeth all the way into their 80s. Mammals with a similar life span as humans such as elephants have gone through several sets of teeth after 70 years.

Humans are built for longevity. If we died at 30, nobody would give a crap about any type of cancer.

Re: Is "colorectal cancer" rising in "young people"?

#219

Post by Fire-Dragon-DoL »

nomemory wrote: post #57

Seeing young adults around me going through this made me change my dietary habits 1 year ago. I went to the extreme by modern food industry standards, but now: - I take 100g proteins, 30g fibers daily - Red meat once a week but never fried - Most of the protein comes from eggs, yoggurt, chicken and various plant based sources - No white bread - No added sugars, no deserts except fruits - Nothing fried - No added salt…

Curious, why no canned goods? I recently added smoked canned oysters to my diet due to high zinc, protein and heme iron. I struggle to assume iron because green leaf veggies (which I like) irritate my stomach, so I often end up in the washroom. With the oysters I am finally getting iron.

But of course I don't want to mess up. I roughly eat like you do

Re: Is "colorectal cancer" rising in "young people"?

#220

Post by jcgl »

nomemory wrote: post #91
minhaz23 wrote: post #82

Earlier quoted context omitted.

Why no spice? And why no salt assuming you balance properly with potassium and limit intake overall?

If I track the salt, a lot of the salt I need comes already from various types of yoggurts (like ayran, or light cheeses and meat), if you actually track it and scan the barcodes of what you eat, you will find out there's already enough to add more. I was eating spicy food and it irritated my intestines. I have enough fibers to never get constipated.

How do you make sure you’re getting enough iodine?
Post reply on HN