What causes rectal cancer?

Written by Yan Chun
Oncology
Updated on June 26, 2025
00:00
00:00

Rectal cancer is a common malignant tumor of the digestive system. The causes of rectal cancer in clinical practice include the following: First, some benign diseases of the rectum, such as adenomatous polyps, are precancerous lesions of rectal cancer. Second, genetic factors also play an important role in the incidence of rectal cancer. Epidemiological surveys show that the incidence of rectal cancer is significantly higher in populations with a family history of rectal cancer. Third, chronic inflammatory diseases of the rectum, such as ulcerative rectitis and Crohn's disease, can also lead to a significantly higher incidence of rectal cancer compared to the general population. Fourth, the incidence of rectal cancer is also somewhat related to viral infections of the rectum or radioactive damage.

Other Voices

doctor image
home-news-image
Written by Zhang Peng
General Surgery
48sec home-news-image

Can colorectal cancer be inherited?

Can rectal cancer be inherited? Rectal cancer is a relatively common type of malignant tumor in the rectum. Genetic factors are among the causes of rectal cancer, but they are not absolute. The proportion of genetic factors in the occurrence of rectal cancer is relatively small. Most causes are related to inhalative lesions of the rectum, and also linked to the patient's lifestyle, bowel habits, etc., which can lead to the occurrence of rectal cancer. So, there is a genetic component, but the likelihood is low. Therefore, for patients with familial hereditary diseases or families where multiple people have rectal cancer, it is important to conduct timely re-examinations with colonoscopies or to perform some genetic screening.

doctor image
home-news-image
Written by Cui Fang Bo
Oncology
53sec home-news-image

Has rectal cancer progressed to the advanced stage with vomiting?

Patients with rectal cancer who experience vomiting do not necessarily indicate that their condition has reached an advanced stage; the situation needs to be differentiated and treated accordingly. If nausea and vomiting are due to the gastrointestinal side effects of antitumor treatments such as chemotherapy and radiotherapy, it is unrelated to the severity of rectal cancer. Appropriate antiemetic treatment can provide significant relief. If a rectal cancer patient experiences projectile vomiting due to brain metastases, which lead to an increase in intracranial pressure, it indicates that the disease has progressed to an advanced stage. Some rectal cancer patients may also experience vomiting due to gastrointestinal obstruction caused by the tumor, accompanied by cessation of bowel movements and gas, which are also signs of advanced disease.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
58sec home-news-image

How to rule out the possibility of rectal cancer

Common symptoms of rectal cancer include abdominal pain, changes in stool characteristics, and rectal bleeding. These symptoms could suggest the possibility of rectal cancer. An initial examination can be conducted via a digital rectal exam to preliminarily exclude rectal cancer. If a mass is felt during the digital rectal exam, a high suspicion of rectal cancer should be maintained. Additionally, a colonoscopy can be performed for a definitive diagnosis. If a mass on the rectal mucosa is observed during the colonoscopy, a biopsy can be conducted for histopathological examination to determine the nature of the mass. Generally, if the surface of the mass is uneven, brittle, and bleeds easily, the likelihood of malignancy is high while a smooth surface suggests a greater possibility of benignity.

doctor image
home-news-image
Written by Gong Chun
Oncology
49sec home-news-image

Symptoms of rectal cancer recurrence

The symptoms of rectal cancer recurrence can include changes in bowel habits and stool characteristics, possibly presenting as rectal bleeding, increased frequency of bowel movements, a sensation of heaviness in the anus, and changes in stool shape, such as narrowing. The second symptom may be abdominal pain, particularly persistent and subtle pain. The third symptom involves palpable abdominal lumps or masses, especially with right-sided colon cancer. The fourth symptom is intestinal obstruction, which can occur if the bowel is blocked due to the recurrence of rectal cancer, leading to symptoms of intestinal obstruction. The fifth symptom, if the recurrent rectal cancer has metastasized, may lead to symptoms at the respective metastatic sites.

doctor image
home-news-image
Written by Gong Chun
Oncology
53sec home-news-image

Postoperative Diet and Care for Rectal Cancer

Firstly, rectal cancer is a malignant tumor of the digestive tract, so after surgery, it is recommended to eat foods that are easy to digest and absorb. Secondly, do not smoke, abstain from alcohol, and avoid spicy and irritating foods. Thirdly, it is advised not to eat indigestible foods, such as bean products and foods that cause gas, and to consume them in smaller quantities. Fourthly, rectal cancer may deplete a large amount of nutrients in the body, coupled with the damage from surgery, so it is essential to ensure a nutrition-rich diet, consume nutritious foods such as soups, easily digestible congee, and high-quality proteins to increase the body's nutrients. Fifthly, attention should be paid to timely adding clothing to avoid catching a cold.