LOUISVILLE, Ky. (WDRB) — Colon cancer often develops without warning — and by the time symptoms appear, it may already be advanced.

More than 150,000 Americans are expected to be diagnosed with colorectal cancer this year, according to the American Cancer Society. In Kentucky, more than 2,600 new cases are projected in 2026.

"Colon cancer is one of those sneaky cancers," said Hilary Deskins, an oncology nurse navigator at UofL Health – Brown Cancer Center.

When symptoms do show up, they may include rectal bleeding, persistent changes in bowel habits, bloating or fatigue — signs younger adults often dismiss.

"A lot of people think if they don’t have symptoms, they don’t have cancer," Deskins said. "That’s not true."

A new Kentucky law that took effect Jan. 1 broadens who qualifies as high risk.

Anyone with a first-degree relative diagnosed with colorectal cancer — or certain advanced precancerous polyps — can now begin screening at age 40 instead of 45. In some cases, screening may start even earlier.

Doctors say colonoscopies remain the most effective screening tool because polyps can be removed before they become cancer.

Deskins said fear keeps many people from scheduling the procedure, but today’s colonoscopy is shorter and easier than many expect.

"If we find something early that’s your best chance to be cured," she said.

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