HomeAnswersMedical Gastroenterologycrohn's diseaseI am a 24-year-old female with Crohn's disease, constipation issue, and abdomen pain. Do I have a risk of developing colon cancer?

Can a person with Crohn's disease, constipation, and abdomen pain develop colon cancer?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

iCliniq medical review team

Published At May 24, 2022
Reviewed AtSeptember 4, 2023

Patient's Query

Hello doctor,

I am a 24-year-old female, and my height is 5'5 feet. I have Crohn's disease for two and half years. Recently I have been suffering from a constipation problem and pain on the right side of my abdomen. I had a CT scan of my abdomen six months back. The report was normal. However, I am worried about colon cancer.

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

I feel sorry to hear that you have got this disease, but fortunately, at your age, the risk of colon cancer is rather low in patients with Crohn's disease. On the contrary, the risk of colon cancer is relatively very high in patients with ulcerative colitis for ten years, and seven to eight percent increased risk in 15 years.

Crohn's disease has comparatively less risk of causing colon cancer as only 1.2 % of patients with Crohn's disease over the two decades have developed colon cancer. Maybe the individuals diagnosed with Crohn's disease at old age will have a higher cancer risk. Crohn's disease is more severe and has a poor prognosis in persons less than ten years old or more than 40 years old.

I would suggest you for a colonoscopy after eight years of the onset of Crohn's disease and later continue the same every once in three years. For your case, the first surveillance colonoscopy should be performed in 2027.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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