This podcast episode dives into the alarming rise of early onset colorectal cancer (CRC) in younger adults, with a 2% annual increase between 2011 and 2016. It highlights a study identifying key symptoms like abdominal pain, rectal bleeding, diarrhea, and iron deficiency anemia as red flags, with rectal bleeding having the highest odds ratio of 5.13. The combination of these symptoms significantly increases the risk, up to 6.52 times higher with three or more symptoms. Personal stories, like Nick's, underscore the importance of early detection and self-advocacy. The episode also discusses risk factors, noting non-modifiable factors like sex, race, family history, and IBD, and modifiable factors such as diet and lifestyle, though research is still evolving. Treatment considerations emphasize the importance of shared decision-making, addressing quality of life, and managing pain effectively, despite the limitations of current pain management frameworks.