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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

  Click to call +919833290590


Colorectal cancer

Advance Treatment of All Types of Simple & Complex Hernia

Diagnosis of colorectal cancer (Warning symptoms)

Diagnosis of colorectal cancer

Cancer of the colon or rectum is more common after the age of 50 years.
Colorectal Cancer is one of the cancers which can be prevented easily because it usually develops from polyps and POLYPS can be diagnosed early and can be removed before it changes to cancer.

Warning symptom of colorectal cancer–

  • Blood in the stools
  • Change in bowel habits
  • Unexplained Anemia
  • Unexplained abdominal pain
  • Abdominal/rectal masses

BUT Colorectal cancer can be a silent disease and not have any symptoms at all.

Barium enema, CT colonography or CT scan May give the clue.

Diagnosis of colorectal cancer is confirmed by colonoscopy (endoscopic examination of large bowel) and biopsy.

Causes of Colorectal Cancer

Exact reason of colorectal cancer is not known, it is usually combination of genetic and environmental causes.

Approx 90% of environmental reasons are due to diet such as high calorie intake, red meat consumption, longer cooking times producing a higher concentration of carcinogens. 

Other factors are obesity (though reason of why obese has more risk of colorectal cancer is not clear) alcohol and tobacco.

Prevention of risk of colorectal cancer

  • The best way to reduce the risk is regular colorectal cancer screening
  • Regular Exercise
  • Diet rich in vegetables, fruits and high-fiber
  • Avoid high fat foods.
  • Moderate carbohydrate intake and reduce refined sugar intake
  • Avoid smoking and moderate alcohol intake
  • There is no clear evidence to support ‘antioxidants’, colonic irrigation or herbal remedies in prevention of colorectal cancer.

Screening for colorectal cancer

If you answer “yes” to any of the following questions, visit your colorectal or general surgeon about colorectal cancer screening-

  • Are you aged 50 or older?
  • Are you having blood in stool?
  • Is there any recent change in your bowel habit?
  • Has your first degree relative had colorectal cancer?
  • Has your first degree relative had colon polyps?
  • Do you have a chronic inflammatory bowel disease such as ulcerative colitis or Crohn’s disease?

colorectal cancer Screening schedule as per risk

Average Risk Group – Asymptomatic and no family history

  • Screening starts at 50 years of age
  • Digital rectal examination, and Stool occult blood testing – Every year
  • Flexible sigmoidoscopy- every 5 years
  • Colonoscopy – every 10 years
  • Barium enema – every 5-10 years

High Risk Group

Family history of colorectal cancer- colonoscopy 10 years prior to youngest case in family 

Personal history of colorectal polyp- Colonoscopy one year after polypectomy if polyp was more than 1 cm, multiple and villous or three years after polypectomy for solitary tubular polyp. 

Personal history of colorectal cancer or endometrial cancer or ovarian cancer – Colonoscopy one year after resection

Very High Risk Group

Family history of familial adenomatous polyposis- Flexible sigmoidoscopy from puberty

Family history of non polyposis colorectal cancer- Colonoscopy 10 years prior to youngest family member

People with inflammatory bowel disease- after15th year of diagnosis 

colorectal cancer Screening methods

Fecal occult blood testing (FOBT)
Flexible sigmoidoscopy:

Other screening tests i.e. barium enema, and CT colography (virtual colonoscopy) may not be as effective and reliable as FOBT or colonoscopy


What patient says about Dr. Nitish Jhawar

  • Person Image

    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience