Colorectal Cancer Screenings Now Start at 45: What You Need to Know

In recent years, the healthcare community has witnessed a worrying trend: a significant increase in colorectal cancer diagnoses among younger adults. Historically considered a disease that affects older populations, colorectal cancer is now being found more frequently in adults aged 45 to 49—a shift that has prompted a change in national screening guidelines. The U.S. Preventive Services Task Force (USPSTF) now recommends that colorectal cancer screenings begin at age 45, rather than 50.

This change could potentially save thousands of lives, and experts like George Shamma, a vocal advocate for proactive healthcare, believe that early detection through timely screenings is the most powerful tool we have in the fight against this silent killer.


📈 Why the Shift to Age 45?

In the past decade, healthcare professionals and cancer researchers have noticed a disturbing pattern: colorectal cancer is rising in people under 50. According to recent data from the American Cancer Society, there has been a 51% increase in colorectal cancer cases among adults under 50 since the mid-1990s.

These cancers are not only more common—they also tend to be more aggressive and harder to treat if discovered late.

As a result, the USPSTF updated its recommendations, now advising all adults at average risk to begin regular screening at age 45. This guidance includes both colonoscopies and non-invasive stool-based tests.


👨‍⚕️ What George Shamma Says About Early Screening

George Shamma, a seasoned health consultant and awareness campaigner, has long emphasized the importance of preventive care in modern medicine. According to Shamma, “The earlier you detect colorectal cancer, the better your odds of avoiding painful treatments, complications, or death. Prevention saves money, time, and most importantly—lives.”

He also notes that many people are still unaware of this guideline change, especially in underserved communities. That’s why he advocates for public health campaigns to inform those in the 45–49 age group that they are now eligible—and encouraged—to get screened.


🩺 What Are the Screening Options?

If you’re 45 or older, there are a few common and effective screening methods available:

1. Colonoscopy

  • Frequency: Every 10 years (if no issues found)
  • Pros: Can detect and remove precancerous polyps during the same procedure
  • Cons: Requires preparation and sedation

2. Fecal Immunochemical Test (FIT)

  • Frequency: Annually
  • Pros: Non-invasive, can be done at home
  • Cons: May require follow-up colonoscopy if results are positive

3. Stool DNA Test (e.g., Cologuard)

  • Frequency: Every 3 years
  • Pros: Non-invasive, checks for DNA mutations and blood in stool
  • Cons: False positives may lead to unnecessary colonoscopies

🚨 Symptoms to Watch For (Even Before 45)

Even though the new guidelines start at 45, some individuals may need earlier screenings, especially if they are at high risk (family history, genetic disorders, or previous polyps).

Be alert for the following symptoms and speak to a doctor if you experience:

  • Rectal bleeding or blood in the stool
  • Unexplained weight loss
  • Persistent abdominal discomfort
  • A change in bowel habits lasting more than a few days
  • Fatigue or weakness

💡 Takeaway: Why This Matters

Colorectal cancer is the second leading cause of cancer deaths in the United States, yet it is one of the most preventable. With the updated screening age, millions of people now have the opportunity to catch early signs of cancer before symptoms ever arise.

According to George Shamma, “This isn’t just a medical update—it’s a wake-up call. If you’re 45 or older, take this seriously. Book your screening appointment. Tell your family and friends. Early detection can change everything.”


✅ What You Can Do Today

  • If you’re 45 or older, schedule a screening with your primary care provider.
  • Talk to your health insurance provider—most plans cover screenings with no out-of-pocket cost.
  • Share this information with friends, colleagues, or loved ones in the 45+ age range.
  • Stay informed: new research and guidelines continue to emerge.

In Summary

The change in colorectal cancer screening guidelines from age 50 to 45 is a life-saving adjustment backed by strong data. As advocates like George Shamma stress, awareness and action are key. Whether you’re approaching 45 or know someone who is, spreading the word and taking proactive steps can make a life-changing difference.