How to Talk to Your Doctor
For many younger adults, bringing up symptoms like rectal bleeding, abdominal pain, or changes in bowel habits can feel uncomfortable. These are not easy things to discuss. You might worry that your concerns will be brushed off, that you will sound dramatic, or that the doctor will assume it is something minor. But speaking up could save your life.
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Colorectal cancer is rising in people under fifty. Many of those diagnosed had symptoms for months or even years before anyone realized what was happening. That delay often starts with silence — the hesitation to speak or the fear of not being believed. This guide is here to help you change that. You deserve to be heard, taken seriously, and given answers that make sense.
Start with Confidence
The first step is deciding that your health is worth the conversation. When you schedule your appointment, let the office know what you want to discuss so they can allow enough time for your visit. When you arrive, speak clearly and directly. You can say things like:
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“I have been having rectal bleeding for a few weeks, and it has not gone away. I am concerned about what could be causing it.”
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“I know this may be uncomfortable to talk about, but I have had abdominal pain and changes in my bowel habits. I would like to understand what might be happening.”
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“I have read that colorectal cancer is appearing more often in younger adults. I am under fifty, but I want to make sure we rule that out.”
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You do not need to sound like a medical expert. You simply need to be specific and clear about what you feel and when it started.
Be Specific and Prepared
Doctors rely on details to make informed decisions. Before your appointment, write down what you have noticed and how long it has been happening.
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When did your symptoms start?
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How often do they happen?
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Have they changed or worsened over time?
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Are they affecting your daily life, sleep, or energy?
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Does anyone in your family have colorectal cancer or polyps?
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Bring this list with you to your appointment. It helps you stay focused and ensures that nothing important is forgotten.
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Example phrases you can use:
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“I have had stomach cramps that come and go, but this time they have lasted almost a month.”
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“I have noticed blood in my stool twice this week, and I am sure it is not from hemorrhoids.”
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“I have lost about ten pounds without trying, and my appetite has changed.”
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When you describe what you are feeling, you make it easier for your doctor to understand the urgency and decide what tests or referrals are appropriate.
Ask Direct Questions
You have the right to ask for more information and to understand your options. If your doctor does not bring up screening or testing, you can ask:
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“Could my symptoms be related to my colon?”
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“Do you think I should have a FIT or Cologuard test?”
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“If I need a colonoscopy, how soon should I schedule it?”
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“If I have to wait to see a specialist, is there a test I can do in the meantime?”
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Asking questions does not mean you are challenging your doctor. It shows that you are taking your health seriously and that you want to work together to find answers.
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The below index card can be a great way to take questions with you to appointments.
If Your Concerns Are Dismissed
It is common for younger patients to be told their symptoms are caused by stress, diet, or hemorrhoids. If that happens, stay calm but firm. You can redirect the conversation by saying:
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“I understand that it may be something minor, but can we also rule out something more serious?”
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“If we are not doing tests right now, what should I watch for that would mean we need to act quickly?”
“What would need to change for you to recommend screening?”
If you still feel dismissed, you can ask for a referral or a second opinion. You might say:
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“I appreciate your time, but I would feel more comfortable getting another opinion.”
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Self-advocacy is not being difficult. It is being responsible for your health.
If Your Concerns Are Dismissed
It is common for younger patients to be told their symptoms are caused by stress, diet, or hemorrhoids. If that happens, stay calm but firm. You can redirect the conversation by saying:
​
“I understand that it may be something minor, but can we also rule out something more serious?”
​
“If we are not doing tests right now, what should I watch for that would mean we need to act quickly?”
“What would need to change for you to recommend screening?”
If you still feel dismissed, you can ask for a referral or a second opinion. You might say:
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“I appreciate your time, but I would feel more comfortable getting another opinion.”
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Self-advocacy is not being difficult. It is being responsible for your health.
Bring Support
It can help to have someone with you who can take notes, ask questions, or remind you what you wanted to say. Bring a trusted friend, partner, or family member to your appointment. Practice what you plan to say before you go. Having support helps you feel more confident and keeps the focus on what matters most.
Follow Up and Stay Engaged
After your visit, write down any tests that were ordered and when you should expect results. If you have not heard back by the expected time, call the office and ask for an update.
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You can say:
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“I had a stool test done last week and wanted to check if the results are ready.”
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“I was referred to a specialist but have not received a call to schedule the appointment.”
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No news does not always mean good news. Following up helps prevent delays and shows that you are invested in your care.
Remember
Your health is worth attention, even if your symptoms feel small or embarrassing. Speaking up early can make the difference between catching something early and finding it too late. You are not overreacting by asking questions. You are protecting yourself.
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If you ever feel nervous, remind yourself of these truths:
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You are allowed to ask questions.
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You are allowed to expect answers.
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You are allowed to request testing.
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You are allowed to keep asking until you are satisfied.
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Colorectal cancer can be prevented and treated when it is found early. That process starts with a conversation. Trust your instincts, speak up, and stay persistent until you have clarity.
That one conversation could save your life.