Colorectal Cancer in a Community Health Setting
A 62-year-old male retired teacher presented to a community health clinic with complaints of persistent abdominal pain, changes in bowel habits, and unexplained weight loss over the past few months. He reported experiencing episodes of constipation followed by diarrhoea and occasional blood in his stool. The patient had a family history of colorectal cancer; his father had been diagnosed at a similar age. Despite his symptoms, he had delayed seeking medical attention due to a lack of awareness about the seriousness of his condition and fear of medical procedures.
Upon examination, the healthcare provider noted abdominal tenderness and recommended a colonoscopy for further evaluation. The procedure revealed a tumour in the colon, which was subsequently confirmed as stage II colorectal cancer through biopsy. The patient was informed about treatment options, including surgery and chemotherapy, and was referred to an oncologist for comprehensive care.
Recognizing the public health implications of late-stage cancer diagnosis, the local health department initiated a community awareness campaign focused on colorectal cancer screening and prevention. The campaign included educational workshops that highlighted the importance of regular screenings, lifestyle modifications (such as increased physical activity and a diet rich in fruits and vegetables), and awareness of cancer symptoms. Additionally, free screening events were organized in collaboration with local healthcare providers to increase access for high-risk populations.
This case emphasized the importance of early detection and screening for colorectal cancer, the role of family history in risk assessment, and the need for community-based public health initiatives to improve cancer awareness and prevention strategies.
a). Persistent cough and shortness of breath
b). Abdominal pain, changes in bowel habits, and unexplained weight loss
c). Frequent headaches and dizziness
d). Chest pain and palpitations
a). Mother diagnosed with breast cancer
b). Brother diagnosed with lung cancer
c). Father diagnosed with colorectal cancer
d). Sister diagnosed with skin cancer
a). MRI of the abdomen
b). CT scan of the chest
c). Colonoscopy
d). Upper endoscopy
a). A free vaccination program for the community
b). A community awareness campaign focused on colorectal cancer screening
c). A fitness program for local schools
d). A nutrition program promoting low-fat diets
