The Sentinel

Don’t confuse these types of cancer

by Tim Ditman
OSF Healthcare

ALTON - Anal and rectal cancer occur in parts of the body near each other, and they both have prevention steps and time-tested treatments. But they are different types of cancer, says Raman Kumar, MD, a colorectal and general surgeon with OSF HealthCare.

Rectal cancer

Dr. Kumar says the rectum is the last part of the colon, where stool is stored.

Signs of rectal cancer include bleeding, irregular bowel movements (such as the shape of the stool changing and the inability to have a complete bowel movement), weight loss, fatigue and pain in the rectal area.

Rectal cancer impacts men and women roughly equally, and it’s seen “at almost any age,” Dr. Kumar says. If you smoke and eat a lot of red meat and processed food, your risk will go up.

Anal cancer

Dr. Kumar says the anus is where stool comes out. He says signs of anal cancer can be like those of rectal cancer. But often, he says an anal cancer diagnosis starts when a person believes they have hemorrhoids, or when the veins or blood vessels around the anus and lower rectum become swollen and irritated due to extra pressure.

“It turns out not to be a hemorrhoid. It could be a mass or a lesion. You could have some bleeding, especially when you’re wiping with toilet paper or wet wipes,” Dr. Kumar says.

Anal cancer’s prevalence in the United States is “very low,” Dr. Kumar says, with around 8,000 cases per year. Around two-thirds of the cases are women, and it’s more common in age 50 and up.

“The number one cause of anal cancer is HPV, the human papillomavirus,” Dr. Kumar says. “So, it is considered a sexually transmitted disease.”

But he says you don’t have to be sexually active to get anal cancer. Regardless, there are vaccines for the most common HPVs that cause cancer.

Prevention and treatment

Symptoms aside, Dr. Kumar says there’s a must-do for anal and rectal cancer prevention: get on a colonoscopy schedule as advised by your health care provider. A colonoscopy is when a provider inspects your colon and surrounding areas using a tiny camera on the end of a tube. Dr. Kumar says generally, colonoscopies start at age 45. But they could start earlier if you have a family history of cancer.

Other tips: Don’t smoke. Exercise regularly. Eat a healthy diet with plenty of fruits, vegetables and fiber. Thirty grams of fiber per day is a good goal, Dr. Kumar says.

If you do have symptoms of anal or rectal cancer, see a provider to get checked out.

Dr. Kumar says treatment for anal cancer is usually chemotherapy and radiation therapy. He says when treated properly, the typical five-year survival rate is around 80%.

“The only times we would operate on anal cancer are to get the original [cancerous] mass out and if the cancer comes back,” Dr. Kumar explains.

For rectal cancer, Dr. Kumar says around 40% of people can also be treated with chemotherapy and radiation. Others will need surgery to remove the cancer. But Dr. Kumar says medicine has progressed to where people can typically avoid a colostomy, or when a part of the colon is diverted outside the skin to bypass a damaged part of the colon. This is temporary and comes with a bag that collects the waste that would normally leave your body via a bowel movement.

Area wrestlers earn All-Conference recognition

St. Thomas More's Brody Cuppernell tries to avoid a takedown attempt by Unity's Hunter Eastin during the IHSA 190-pound championship match at State Farm Center on Saturday. Eastin prevailed to win the Class 1A title with 5-2 decision over Cuppernell. Both wrestlers made the cut for this year's Illini Prairie all-conference first team. See more championship match photos here ...

Photo: PhotoNews Media

URBANA - Eleven wrestlers from Unity and eight from St. Joseph-Ogden were selected by coaches and named to the Illini Prairie 2023-2024 all-conference teams.

Later today, the Rockets wrestle against the Shells of Roxana for a spot in tomorrow's semifinal round at Grossinger Motors Arena. The season also continues for Unity's Phoenix Molina, who is competing in the girls' IHSA wrestling championship, also at the arena.

2023-2024
Illini Prairie Conference
All-Conference Wrestling

* Unanimous choice

First Team:

Zeke Young, Monticello (Freshmen, 106)
Hunter Romano, Monticello (Junior, 175/190)
Aidan Scholwin, Pontiac (Senior, 106)*
Ayden Mackey, Prairie Central (Senior, 144)
Emmitt Holt, SJO (Senior, 113)*
Holden Brazelton, SJO (Junior, 132)*
Coy Hayes, SJO (Sophomore, 150)
August Christhilf, STM (Senior, 175)*
Robbie Vavrik, STM (Senior, 285)*
Brody Cuppernell, STM (Senior, 190/215)*
Hunter Shike, Unity (Sophomore, 126)*
Taylor Finley, Unity (Freshmen, 132)
Kaden Inman, Unity (Junior, 144)
Abram Davidson, Unity (Sophomore, 157)
Ryan Rink, Unity (Junior, 165)*
Thayden Root, Unity (Senior, 175)
Hunter Eastin, Unity (Junior, 190)*

Second Team:

Owen Moser, IVC (Sophomore, 165)
AJ Toliver, IVC (Freshmen, 150)
Gavin Ridings, Monticello (Senior, 157)
Wyatt Vaughan, Monticello (Senior, 175/190)
Brandon Peters, Monticello (Senior, 285)
John Traub, Prairie Central (Junior, 132)
Darius Williams, Rantoul (Junior, 150)
Jackson Walsh, SJO (Sophomore, 113)
Landen Butts, SJO (Junior, 138)
Devan Swisher, SJO (Sophomore, 165)
Maddie Wells, SJO (Sophomore, 126)
James Schmidt, STM (Junior, 215)
Philip Christhilf, STM (Junior, 157)
Keegan Germano, Unity (Freshmen, 138)
Josh Heath, Unity (Sophomore, 150)

Honorable Mention:

Marrissa Miller, Monticello (Senior, 113)
Luke Andruczyk, Monticello (Freshmen, 120)
Will Osborne, Monticello (Freshmen, 126)
Russ Brown, Monticello (Junior, 165)
Hunter Melvin, Pontiac (Senior, 215)
Drayden Ramsey, Pontiac (Sophomore, 126)
Noah Davis, Pontiac (Freshmen, 120)
Drew Owen, Rantoul (Junior, 215/285)
Quincy Jones, SJO (Junior, 215)
Travis McCarter, Unity (Sophomore, 113)
Hudson DeHart, Unity (Freshmen, 215)

Commentary |
No way having a baby should cause a financial catastrophe

by Lindsay K. Saunders

... my first and only experience with motherhood was marred by stress and trauma.

I had a baby in 2021 and quickly learned how parenting and child care expenses add up.

My husband and I had saved up for months to afford my unpaid maternity leave — I kept working even after my water broke because we needed every penny. It was a dream come true to have a career that I was proud of and finally be welcoming a child into our lives.

But I had no idea how hard it would really be.

Bringing a bundles of joy like this cute little one into the world shouldn't be a financial burden.

Photo: Kaushal Mishra/Unsplash

While I was on unpaid maternity leave that cost us our health benefits, my husband was let go from his job. Already reliant on WIC — the federal food aid program for women, infants, and children — we were forced to go to food pantries, apply for Medicaid, and referred to a diaper bank. We were in survival mode: exhausted, stressed out, and worried.

Despite a litany of postpartum complications that continue to plague me more than two years later, I ended up only taking seven weeks of leave before I returned to work out of desperation.

I wondered: Why doesn’t the U.S. have a paid parental leave policy?

Instead, my first and only experience with motherhood was marred by stress and trauma. Again and again, I had to choose between my health and a paycheck, which can feel like a punishment. I’d proudly served my country on a one-year assignment overseas working on foreign aid, and it didn’t matter.

We found child care at a loving, quality child care center, but the tuition kept increasing. Now the monthly cost is almost twice our mortgage. In fact, child care costs exceed college tuition where we live in North Carolina, as well as in at least 27 other states. My stomach gets in a knot every six months when I know the tuition will increase again.

I wondered: Why don’t we invest more in early care and education?

Meanwhile, the crises causing outsized harm to families throughout the pandemic compounded: a diaper shortage, a formula shortage, inflation, and wages that wouldn’t keep up. So many people are struggling to get back on their feet and desperately need balance and some peace of mind. The stress took its toll, and my husband and I separated in spring 2023.

I wondered: If only we’d had more support, would we have made it?

I have an advanced degree and work as a communications director at a nonprofit while also freelancing. After paying for necessities, we have nothing left, so I get food and supplies from neighbors and friends. I work so hard as a single mom to try to achieve the dreams I have for myself and my baby boy — the dreams that all mothers have. I don’t want my child to deal with the stress and constant refrain of “we don’t have the money for that,” like I did growing up.

Families desperately need, want, and deserve better. Welcoming a child should never be the reason a family plunges into poverty, especially in one of the wealthiest countries in the world. We shouldn’t be sacrificing health, quality early learning, or stability in exchange for a roof over our heads and food. Instead, we should be building strong foundations and generational wealth for our kids.

We need federally mandated paid parental and medical leave. We need additional dedicated funding for programs like WIC that support over 6 million families.

And we need to continue expanding the Child Tax Credit. In North Carolina alone, the monthly Child Tax Credits received in 2021 helped the families of 140,000 children lift themselves out of poverty. Nationally, the credit cut child poverty by over 40 percent before Congress let the pandemic expansion expire at the end of 2021.

Congress must put our tax dollars and policies toward strong support for families. Let’s ensure no parent experiences welcoming a child a child as a financial catastrophe and make this country a place where families prosper.

About the author:
Lindsay K. Saunders is a North Carolina mother and dedicated advocate for RESULTS Educational Fund, a national anti-poverty organization. This op-ed was distributed by OtherWords.org.