Rethink Your Drinking in Alcohol Awareness Month

Springtime is a fun time for a lot of us. Vacations may increase with the kids off for Spring Break and we are all ready to blow past the winter with the fun of the warmer temperatures. Party days are ahead. But there may be some of us who need to pay more attention to how we use those party days.

April is Alcohol Awareness Month and this is the time to increase not only public awareness about alcohol but education regarding the treatment and the prevention of alcohol abuse. Alcohol abuse is a preventable disease and treatments for it are good.

The 2020-2025 Dietary Guidelines for Americans continues to recommend one drink or less a day for women and two drinks or less a day for men. Alcohol misuse or heavy drinking is described as four or more drinks on any day or eight or more per week for women; for men it is five or more drinks on any day or fifteen or more per week.

Alcohol Use Disorder (AUD) is defined as an impaired ability to stop or control alcohol use despite social, health, or occupational consequences. It can cause lasting changes in the brain and can make patients vulnerable to a relapse. Most people who have AUD benefit from treatment such as behavioral therapies, medications, or a combination of both.

Signs of an Alcohol Use Disorder:

• Hearing comments from friends and family about how much you drink
• Spending more time drinking or thinking about drinking than you used to
• Drinking more or longer than you planned to
• Trying to cut down or stop drinking but being unable to
• Feeling depressed or anxious when drinking but continuing to drink
• Drinking interferes with work and social activities
• Having legal problems due to drinking
• Experiencing withdrawal symptoms when you don’t drink such as tremors, headaches, insomnia, anxiety, sweating

When someone drinks above the recommended limits their risk is increased for:

• Mental health conditions
• High blood pressure
• Stroke, heart disease, digestive problems
• Poor sleep
• Liver disease
• Cancer

“Rethinking Drinking” https://www.rethinkingdrinking.niaaa.nih.gov/ is a government website with lots of great information on alcohol and health. Items include learning about the guidelines for drinking, seeing signs of a problem, and using website tools to make a change. The website goes over what counts as a drink, how many drinks are in common containers, what’s your pattern, thinking about a change with pros and cons/readiness for change/a plan for change, strategies for cutting down, and support for quitting. Really good stuff here. Building new and healthy habits is the key to change whether this is done by increasing physical activity, eating healthily or cutting down on alcohol consumption when needed.

If more help is needed, SAMHSA (Substance Abuse and Mental Health Services Administration) has a national helpline in English and Spanish that is free and confidential, 24 hours a day, seven days a week for information and treatment referral for mental health and/or substance use disorders. 800-662-HELP (4357). People can also contact their primary care office or health insurance organization for resources.

https://www.cdc.gov/alcohol/fact-sheets/moderate-drinking.htm

Have You Been Screened for Colorectal Cancer?

 

Colorectal cancer is found in the colon or rectum. It is the second leading cancer killer in the United States when the numbers are combined for men and women. Screening can find precancerous polyps in the colon or rectum that can be removed before they have a chance to turn into cancer. Screening is also important to find existing colorectal cancer early when the treatment works the best.

Colorectal cancer screening recommendations from the American Cancer Society:

• Adults with an average risk start regular screening at age 45
• Done with either a sensitive stool-based test that looks for signs of cancer in a person’s stool or with an exam that visually looks at the colon or rectum
• People in good health with a life expectancy of more than 10 years should continue regular colorectal cancer screening through the age of 75
• Adults 76 to 85 years of age, the decision to be screened should be based on a person’s preferences, life expectancy, overall health and prior screening history

Colorectal cancer screening tests:

• Stool Tests
• There are 3 different stool tests to detect blood in the stool
• Guaic-based fecal occult blood test (gFOBT) – obtain a small amount of stool and return to the doctor or the laboratory. Stool samples are checked for blood. This can be done once a year.
• Fecal immunochemical test (FIT) – uses antibodies to detect blood in the stool. It can be done once a year and the same way as the gFOBT.
• FIT-DNA test (Colorgard®) – combines the FIT test with a test that detects altered DNA in the stool. Send the entire bowel movement to the lab where it is checked for blood. This is done every 3 years. Colorgard® may result in false positives for abnormal DNA markers that aren’t explained by subsequent colonoscopy findings.
• Flexible Sigmoidoscopy
• A short, thin, flexible lighted tube is put into your rectum. The doctors checks for polyps or cancer inside of the rectum and the lower third of the colon. It is done every 5 years or every 10 years with a FIT stool test every year.
• CT Colonography (virtual colonoscopy)
• Computed tomography uses x-rays and computers to produce images of the entire colon which are displayed on a computer screen for the physician to analyze. It is done every 5 years.
• Colonoscopy
• A colonoscopy is similar to the flexible sigmoidoscopy except the doctor uses a longer, thin, flexible lighted tube to check for polyps or cancer inside the rectum and the entire colon. During the test, the physician can remove most polyps and some cancers. The colonoscopy is also used as a follow-up test if anything unusual is found during one of the other screening tests. It is done every 10 years for people who do not have an increased risk of colorectal cancer.
• Colonoscopy is considered the gold standard!

There are many tests and it may be hard to decide which one works for you. Each test has advantages and disadvantages. Discuss this with your health care provider. There are many variables including your personal preference, medical conditions and problems that you may have, and a personal and/or family history of colorectal cancer and polyps.

Risk factors you cannot change include:

• Being older (more common after age 50)
• Racial or ethnic background
• Having an inflammatory bowel disease like Crohn’s disease or ulcerative colitis
• Inherited syndromes caused by gene changes

Risk factors you may be able to change:

• Having type 2 diabetes
• Lack of regular physical activity
• A lob-fiber and high-fat diet
• A diet high in processed meats
• A diet low in vegetables and fruit
• Being overweight or obese
• Alcohol consumption
• Tobacco use

Symptoms of colorectal cancer:

• There may NOT be symptoms early on
• A change in bowel habits, such as diarrhea, constipation or narrowing of the stool that lasts for more than a few days
• Feeling as though the bowel isn’t emptying
• Feeling like you needs to have a bowel movement but aren’t relieved by having one
• Blood in or on your stool
• Rectal bleeding
• Unintended weight loss

Talk to your health care professional if you have any of these symptoms. The symptoms may be related to something else, but it is better to make sure. As was mentioned earlier, the gold standard for colorectal cancer screening is the colonoscopy. Ultimately, though, the best screening method for colorectal cancer is the one that actually gets done.

The month of March is National Colorectal Cancer Awareness Month. Dress in blue on Friday, March 1 to show your support for colorectal cancer screening.

https://www.cancer.org/cancer/types/colon-rectal-cancer/detection-diagnosis-staging/acs-recommendations.html