Evidence-informed • Patient-friendly • Updated September 2026

Colon cancer screening, made clear.

Most average-risk adults should begin colorectal cancer screening at age 45. You have options—and the right screening strategy is one you can complete and follow through on.

Education only. This site does not diagnose disease or establish an individualized screening schedule.

Simplified illustration of the colonA stylized, non-diagnostic outline of the large intestine.
Screening can prevent some colorectal cancers.Screening can find precancerous polyps so they can be removed before they become cancer.
45Start age for most average-risk adults
45–75Routine screening age range
76–85Individualized decision
85+Routine screening generally stops
Decision support, not diagnosis

What screening conversation applies to me?

Answer five short questions. The tool stays in your browser and points you toward the type of conversation to have with a healthcare professional.

1. How old are you?
2. Are you having concerning bowel symptoms now?

Examples: blood in/on stool, persistent bowel-habit change, ongoing abdominal pain/cramps, unexplained weight loss, or iron-deficiency anemia.

3. Have you personally had colorectal cancer or certain precancerous colon polyps?
4. Do you have a close family history of colorectal cancer or advanced polyps?

Especially a parent, sibling, or child.

5. Do any of these apply to you?

Crohn’s disease or ulcerative colitis involving the colon, Lynch syndrome/FAP or another hereditary colorectal cancer syndrome, or prior abdominal/pelvic radiation for cancer.

Symptoms are different

Screening is for people without symptoms.

If you have rectal bleeding, persistent bowel changes, ongoing abdominal pain, unexplained weight loss, or iron-deficiency anemia, the question is no longer just “Which screening test?” Symptoms need medical evaluation because many conditions—not only cancer—can cause them.

Urgent symptoms: heavy or ongoing bleeding, fainting, severe or worsening abdominal pain, or other severe symptoms can require urgent care. This website cannot determine urgency for an individual.
Medical content governance

Built from authoritative sources

The clinical backbone is current ACS, USPSTF, CDC, ACG/US Multi-Society guidance, NCI, Medicare, and federal preventive-services guidance.

Content review date: September 5, 2026. Before public launch, a qualified clinician should review the final medical content.