When Rick Rivers was diagnosed with colorectal cancer at 31, he discovered a family secret: his grandfather had died from the same disease. In his family, discussing cancer felt taboo, while other ailments, like diabetes, were openly talked about. He says, “There’s a shame factor when it comes to certain parts of our bodies and how they work.” For many, colorectal cancer remains a hidden topic, even though it affects Black individuals like Rivers more frequently and severely.
Colorectal cancer cases are rising, making it the most deadly cancer for people under 50. Dr. Neil Parikh, a gastroenterologist, finds this puzzling since the disease is preventable. Tumors usually take years to develop, and regular screenings like colonoscopies can catch problems early. “If you find a polyp and remove it, you can prevent cancer,” Dr. Parikh explains. Yet, the stigma surrounding this topic keeps many from seeking help. This reluctance can lead to critical delays in diagnosis and treatment.
Recent statistics show that 3 out of 4 young people diagnosed with colorectal cancer have late-stage disease. The Colorectal Cancer Alliance highlights how symptoms in younger patients often get ignored. Michael Sapienza, the CEO of the Alliance, emphasizes the importance of self-advocacy, especially for those under 45. Insurance often doesn’t cover screenings until that age, leaving younger people at risk.
Dr. Parikh believes we need to be more open about digestive health. He notes that young adults are often too shy to discuss symptoms like bloody stools, which are warning signs. “We’re okay laughing about farting as kids but lose that openness as we grow up,” he says. “This silence can have serious health consequences.” The reluctance to talk can stem from discomfort and societal norms.
Rick Rivers, now cancer-free after numerous surgeries, works to change that conversation. He encourages peers to take their health seriously. “I talk about screenings whenever I can, whether it’s at practice or family gatherings,” he shares. His approach revolves around connecting with people’s life priorities, like wanting to be there for their children. “It’s about finding a way to relate,” he says, emphasizing the need for trust when discussing such sensitive issues.
Rivers’ story illustrates the pressing need for dialogue around colorectal health. Addressing worries early can save lives, but we all need to do our part in promoting these crucial conversations.

