Communication Tips for Providers

Effective communication can mean the difference between early detection and a missed diagnosis. Younger adults often dismiss or normalize symptoms like rectal bleeding, fatigue, or abdominal pain and many providers hesitate to raise colorectal cancer as a possibility. By talking openly, clearly, and empathetically about risk, symptoms, and screening, providers can overcome stigma, build trust, and save lives.

Early-age-onset colorectal cancer is not just a medical issue — it’s a communication issue. Each conversation is an opportunity to change the outcome.

How to Talk to Younger Patients About CRC Risk Without Scaring Them

Younger patients often don’t see themselves as being at risk for colorectal cancer. Many associate the disease with older adults, so hearing that screening may be necessary can be surprising or even frightening. The key is to strike a balance between urgency and reassurance.

1. Normalize the conversation.
Discuss colon health as part of routine preventive care, not as a reaction to fear or alarm. For example, say:

“We’re learning that colon cancer can happen in younger people too, so we now check symptoms like yours earlier. It’s just part of keeping you healthy.”

2. Use patient-centered language.
Avoid medical jargon and focus on collaboration. Instead of “You need a colonoscopy,” try:

“There are a few simple tests we can do to make sure everything looks healthy inside your colon.”

3. Focus on empowerment, not anxiety.
Explain that screening gives patients control over their health. Emphasize that catching something early often means easier treatment and better outcomes.

“If we find anything early, we can take care of it quickly and you’ll have the best chance for a full recovery.”

4. Acknowledge discomfort or fear.
If a patient expresses embarrassment or nervousness, validate those feelings.

“A lot of people feel that way at first, but these tests are very common and most people say it was much easier than they expected.”

Emphasize That Early Detection = Better Outcomes

Many young adults delay seeking care for symptoms out of fear, stigma, or lack of awareness. Clinicians can make a powerful difference by reinforcing that early detection saves lives.

1. Explain the difference early detection makes.

“When colorectal cancer is found early, before it spreads, the five-year survival rate is over 90%. That’s why we don’t wait when we see possible warning signs.”

2. Reframe screening as prevention.
Make it clear that screening doesn’t just find cancer — it can actually prevent it by removing precancerous polyps.

“A colonoscopy can remove growths before they turn into cancer, which means screening can stop cancer before it starts.”

3. Connect screening to long-term health goals.

Relate the discussion to what matters most to the patient — family, work, hobbies, or fitness.

“You’re doing this to stay healthy for your kids and keep living your life the way you want to.”

4. Share real-world stories.

If appropriate, mention that many survivors were diagnosed young and are now advocates for awareness; including showing the videos we have on this site.

“We’re seeing more people in their 20s, 30s, and 40s who caught it early because they spoke up about symptoms.”

Address Screening Myths and Stigma

Misinformation and cultural stigma remain major barriers to screening. Younger adults may hesitate out of embarrassment, privacy concerns, or misconceptions about what screening involves.

1. Clarify the facts.
Many think colonoscopy is the only option — or that it’s painful. Explain that there are multiple screening tests.

“There are simple at-home stool tests like FIT or Cologuard that don’t require any special preparation. A colonoscopy is only needed if something looks abnormal.”

2. Destigmatize the topic.
Talk openly and confidently about bowel health. When clinicians speak without hesitation, patients follow suit.

“It’s just another part of your body, like your heart or your skin — and it deserves the same attention.”

3. Address misconceptions about age and lifestyle.

“Even healthy people who eat well and exercise can develop colon cancer. Age and genetics are just part of the picture.”

4. Build trust through transparency.
Explain each step of the process clearly and honestly so patients know what to expect.

“You’ll be asleep during the procedure and won’t feel anything. Most people are back to work the next day.”

5. Respect cultural and personal boundaries.
Be mindful of language, modesty, and gender preferences for care providers when possible. Use interpreters or translated materials when needed to build comfort and understanding.