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	<title>Comments on: Don&#8217;t assume it&#8217;s piles&#8230; it could be cancer.</title>
	<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/</link>
	<description>What's next along this river of life?</description>
	<pubDate>Wed, 07 Jan 2009 00:38:14 +0000</pubDate>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-8486</link>
		<author>Bernard</author>
		<pubDate>Wed, 21 Feb 2007 02:29:49 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-8486</guid>
		<description>&lt;strong&gt;Sweetpea&lt;/strong&gt;, thanks for the suggestion. I don't usually see many patients with STDs in my line of medicine, but if there are any interesting images, I shall think about posting them.

It's true that many people are not aware of the dangers of having multiple unprotected casual sexual partners.</description>
		<content:encoded><![CDATA[<p><strong>Sweetpea</strong>, thanks for the suggestion. I don&#8217;t usually see many patients with STDs in my line of medicine, but if there are any interesting images, I shall think about posting them.</p>
<p>It&#8217;s true that many people are not aware of the dangers of having multiple unprotected casual sexual partners.</p>
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		<title>By: Sweetpea</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-8465</link>
		<author>Sweetpea</author>
		<pubDate>Tue, 20 Feb 2007 15:01:19 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-8465</guid>
		<description>Hi Doc, suggestion to post pics of STD adv. stage just so general public can take precaution and abstain from casual sex. Teenagers are so ignorant nowadays, most, sorry, did not mean to generalize. Am sure after those pics, everyone will think twice before going on a bed-hopping spree.</description>
		<content:encoded><![CDATA[<p>Hi Doc, suggestion to post pics of STD adv. stage just so general public can take precaution and abstain from casual sex. Teenagers are so ignorant nowadays, most, sorry, did not mean to generalize. Am sure after those pics, everyone will think twice before going on a bed-hopping spree.</p>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4717</link>
		<author>Bernard</author>
		<pubDate>Thu, 21 Dec 2006 02:39:33 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4717</guid>
		<description>Milo, your dietary requirements depend on your lifestyle. For a physically active person as you are, i think you can afford more protein, and even calories and fat than the average joe.</description>
		<content:encoded><![CDATA[<p>Milo, your dietary requirements depend on your lifestyle. For a physically active person as you are, i think you can afford more protein, and even calories and fat than the average joe.</p>
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		<title>By: Milo</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4634</link>
		<author>Milo</author>
		<pubDate>Wed, 20 Dec 2006 08:00:08 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4634</guid>
		<description>ah...ok...Thats great! I love 3-4 egg white for breakfast. Sounds like I get to keep having that, part of my replenishment for the workout (cardio, weights, yoga) I do in gym 3 times a week.</description>
		<content:encoded><![CDATA[<p>ah&#8230;ok&#8230;Thats great! I love 3-4 egg white for breakfast. Sounds like I get to keep having that, part of my replenishment for the workout (cardio, weights, yoga) I do in gym 3 times a week.</p>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4607</link>
		<author>Bernard</author>
		<pubDate>Wed, 20 Dec 2006 04:04:38 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4607</guid>
		<description>Milo, protein doesn't &lt;em&gt;cause&lt;/em&gt; cancer. It's just that a high-protein, high-fat, high-calorie diet is a &lt;em&gt;risk factor&lt;/em&gt; for colorectal cancer. Don't stop taking proteins. Haha.</description>
		<content:encoded><![CDATA[<p>Milo, protein doesn&#8217;t <em>cause</em> cancer. It&#8217;s just that a high-protein, high-fat, high-calorie diet is a <em>risk factor</em> for colorectal cancer. Don&#8217;t stop taking proteins. Haha.</p>
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		<title>By: Milo</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4601</link>
		<author>Milo</author>
		<pubDate>Wed, 20 Dec 2006 02:43:55 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4601</guid>
		<description>Thanks for bringing clarity to that. Long list indeed. When I look at this list, I am thinking, which are the ones I can do something about it... 

a) Those we cannot change:
- Can't stop aging and family history. 
- History of cancer
- History of ulcerative colitis

b) Those we can do something about:
- Diet high in fats and calories
- Diet low in fibre, calclum and folate 
- Obesity, sedentary lifestyle, alcohol, smoking

Protein - Here I am thinking egg white and possibly red &#38; white meat. How much is considered high enough to cause colorectal cancer?

Definitely looking forward to what you have to say on Polyps.</description>
		<content:encoded><![CDATA[<p>Thanks for bringing clarity to that. Long list indeed. When I look at this list, I am thinking, which are the ones I can do something about it&#8230; </p>
<p>a) Those we cannot change:<br />
- Can&#8217;t stop aging and family history.<br />
- History of cancer<br />
- History of ulcerative colitis</p>
<p>b) Those we can do something about:<br />
- Diet high in fats and calories<br />
- Diet low in fibre, calclum and folate<br />
- Obesity, sedentary lifestyle, alcohol, smoking</p>
<p>Protein - Here I am thinking egg white and possibly red &amp; white meat. How much is considered high enough to cause colorectal cancer?</p>
<p>Definitely looking forward to what you have to say on Polyps.</p>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4510</link>
		<author>Bernard</author>
		<pubDate>Tue, 19 Dec 2006 07:10:45 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4510</guid>
		<description>Milo, colorectal cancers &lt;strong&gt;are&lt;/strong&gt; growths arising from the internal lining of the colon and rectum. Only cancers arising from the last 5 cm of the rectum can actually be found on examination of the anus. 

The risk factors for colorectal cancers are:
&lt;ul&gt;&lt;li&gt;age, risk starts to rise from the age of 50 years&lt;/li&gt;
&lt;li&gt;family history, especially if the relative's cancer occured before the age of 50 years&lt;/li&gt;
&lt;li&gt;presence of polyps before, i shall talk about polyps later in another post&lt;/li&gt;
&lt;li&gt;diet high in fat, proteins and calories&lt;/li&gt;
&lt;li&gt;diet low in fibre, calclum and folate&lt;/li&gt;
&lt;li&gt;obesity&lt;/li&gt;
&lt;li&gt;sedentary lifestyle&lt;/li&gt;
&lt;li&gt;alcohol and smoking, yes.&lt;/li&gt;
&lt;li&gt;previous history of cancer of the colon/rectum, breast, ovary or uterus&lt;/li&gt;
&lt;li&gt;history of ulcerative colitis&lt;/li&gt;
&lt;/ul&gt;

Piles &lt;strong&gt;do not&lt;/strong&gt; increase the risk of colorectal cancer.</description>
		<content:encoded><![CDATA[<p>Milo, colorectal cancers <strong>are</strong> growths arising from the internal lining of the colon and rectum. Only cancers arising from the last 5 cm of the rectum can actually be found on examination of the anus. </p>
<p>The risk factors for colorectal cancers are:</p>
<ul>
<li>age, risk starts to rise from the age of 50 years</li>
<li>family history, especially if the relative&#8217;s cancer occured before the age of 50 years</li>
<li>presence of polyps before, i shall talk about polyps later in another post</li>
<li>diet high in fat, proteins and calories</li>
<li>diet low in fibre, calclum and folate</li>
<li>obesity</li>
<li>sedentary lifestyle</li>
<li>alcohol and smoking, yes.</li>
<li>previous history of cancer of the colon/rectum, breast, ovary or uterus</li>
<li>history of ulcerative colitis</li>
</ul>
<p>Piles <strong>do not</strong> increase the risk of colorectal cancer.</p>
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		<title>By: Milo</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4481</link>
		<author>Milo</author>
		<pubDate>Tue, 19 Dec 2006 01:19:17 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4481</guid>
		<description>Hello Bernard, 

The pics you have in the other post, are those then the typical Colorectal cancer? They look more like internal growth.

What are the likely cause of Colorectal cancer? I do a few guess: Genetically inherited and drink &#38; smoke too much maybe.

Does piles at any stage turn cancerous?</description>
		<content:encoded><![CDATA[<p>Hello Bernard, </p>
<p>The pics you have in the other post, are those then the typical Colorectal cancer? They look more like internal growth.</p>
<p>What are the likely cause of Colorectal cancer? I do a few guess: Genetically inherited and drink &amp; smoke too much maybe.</p>
<p>Does piles at any stage turn cancerous?</p>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4069</link>
		<author>Bernard</author>
		<pubDate>Fri, 15 Dec 2006 10:29:45 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4069</guid>
		<description>milo, this is not what the typical rectal cancer look like. i'll post a photo of a typical rectal cancer some time soon.</description>
		<content:encoded><![CDATA[<p>milo, this is not what the typical rectal cancer look like. i&#8217;ll post a photo of a typical rectal cancer some time soon.</p>
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		<title>By: milo</title>
		<link>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4007</link>
		<author>milo</author>
		<pubDate>Fri, 15 Dec 2006 03:44:27 +0000</pubDate>
		<guid>http://bernardchan.net/2006/12/08/dont-assume-its-piles-it-could-be-cancer/#comment-4007</guid>
		<description>At last can see what cancer down there looks like. Then again, I got a feeling they probably come in a whole lot of other shapes, colours and sizes. Scary! I was told once that if bleeding in stools is not just piles then.... need to have it check by Doc.</description>
		<content:encoded><![CDATA[<p>At last can see what cancer down there looks like. Then again, I got a feeling they probably come in a whole lot of other shapes, colours and sizes. Scary! I was told once that if bleeding in stools is not just piles then&#8230;. need to have it check by Doc.</p>
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