Colorectal cancer
On this page:
Many symptoms that are experienced gradually improve over time, being aware of what is ‘normal’ for you can help you notice if any additional support is needed.
The supporting pelvic health and abdominal related cancer concerns (SPARC) webpages and the one page guide, Roadmap summarises information and self-management tips to support you with common concerns.
We have developed these guides to support your recovery after colorectal surgery
Recovering from colorectal cancer surgery – female guide
Recovering from colorectal cancer surgery – male guide
Recovering from colorectal cancer treatment – gender inclusive guide
Signs and symptoms to be aware of – when to ask for help
Please remember, not every symptom means that the cancer has returned.
Many symptoms are related to the long-term effects of treatment, other conditions, or the normal recovery process. However, it is always important to get persistent, worsening or worrying symptoms checked out.
Contact your GP, cancer nurse specialist (CNS) or medial team if you experience:
• Persistent or worsening abdominal pain
• New or ongoing rectal bleeding
• A significant change in bowel habits that lasts for several weeks
• Unexplained weight loss
• Loss of appetite that does not improve
• Increasing fatigue that affects your daily activities
• Difficulty eating or drinking
• Ongoing nausea or vomiting
• Problems managing your stoma, including skin problems, leaks, or changes in output
• New swelling in your legs or abdomen
• Persistent numbness or tingling that affects function or safety
• Concerns about your emotional wellbeing, anxiety, or low mood
Please seek urgent medical advice if you experience:
• Severe abdominal pain
• A swollen abdomen with vomiting and inability to pass stools or wind
• Large amounts of rectal bleeding
• Shortness of breath, chest pain, or sudden swelling in a leg
• Signs of severe dehydration, particularly if you have an ileostomy and high stoma output
We would recommend
Being physically active
Being physically active is one of the most important things you can do to support your health and wellbeing after treatment for colorectal cancer.
Recent research from the Challenge trial also showed that structured physical activity after treatment for stage II and III colon cancer can do more than just improve wellbeing. This study encouraged people to work towards an additional 150-180 minutes of moderate intensity activity each week. The research showed that people who were physically active had a lower risk of their cancer returning and were more likely to be alive years after cancer treatment. These outcomes highlight the important role physical activity has for people after colorectal cancer treatment.
We have developed a physical activity information leaflet specifically for people with colorectal cancer.
Being active when you have colorectal cancer.
For more information and guidance please see the Physical activity webpages.
Eating a healthy diet
This guide can help you if you are concerned about what foods you should or should not be eating, during treatment/surgery or after treatment/surgery.
Your CNS can also make a referral to the dietician should this be needed.
Personalised Stratified Follow Up (PSFU) for colorectal cancer surveillance
This leaflet will open a guide to surveillance and self-management.
This programme is designed to provide you with structured and personalised follow-up care after your treatment for colorectal cancer, ensuring your continued health and well-being.
The purpose of this surveillance pathway is to monitor your recovery, detect any signs of cancer recurrence early, and manage any long-term effects of your treatment. This structured follow-up ensures you receive the appropriate care at regular intervals, reducing unnecessary visits while maintaining vigilant oversight.
Colorectal cancer support groups and charities
Bowel Cancer UK
Ileostomy and internal pouch association
Pelvic Radiation Disease Association
South East Cancer Help Centre Bowel cancer support group
• 020 8668 0974
• john.amos@sechc.org.uk